Social Community in MOOCs: Practical implications and outcomes (TEEM 2014 - Salamanca)
Clinical Presentations, Outcomes and Implications.
-
Upload
heather-skinner -
Category
Documents
-
view
213 -
download
0
Transcript of Clinical Presentations, Outcomes and Implications.
VASA PREVIA!Clinical Presentations, Outcomes
and Implications
Purpose
Evaluate patients with diagnosis of vasa previa and assess outcomes in order to develop recommendations
Increased risk of Vasa previa
K.B.
32yo G3P2002 with Di-Di twins and h/o 2 prior c/s
Twin A initially noted to have velamentous CI, no vasa previa at 20wga
Presented with VB at 25w5d. Developed/Identified as placenta previa with
velamentous CI and vasa previa at 25w6 d/c’ed, returned with 2nd bleed at 26w3d,
signed out AMA HD#8 Presented in labor at 32w2d, 2-3cm visually
dilated with bulging membranes
Pathologic Diagnosis :
A. Twin placenta:-Third trimester dichorionic diamniotic twin placenta: -Twin #1 placenta showing intervillous hemorrhage, acute chorioamnionitisand velamentous insertion of cord. -Twin #2 placenta showing velamentous insertion of cord.
J.B.:
20w US : complete previa with marginal cord insertion
Progressed to marginal placenta previa with velamentous cord insertion and vasa previa
Plan to admit at 32wga (tomorrow) Plan for delivery at 34wga
JB: marginal placenta, velamentous cord insertion
K.S.
33yo G1P0 with anterior placenta, posterior succenturate lobe, marginal placenta previa, vasa previa.
Admitted at 32wga for surveillance Plan for delivery between 34 and 35 wga
K.D.
41yo G1P0 with vasa previa, low lying placenta, marginal, possible velamentous C
Admit at 32w2d Scheduled delivery at 34 WGA