title: Survival of twins after acute fetal hemorrhage from ruptured vasa previa.
abstract: Vasa previa was suspected when sudden bleeding occurred in a twin pregnancy during an attempt to attach a scalp electrode. Shortly thereafter, we observed sustained fetal bradycardia using a portable ultrasound. Delivery was accomplished immediately with cesarean section, and an exsanguinated twin A and a normal twin B were delivered. After appropriate resuscitation and transfusion, twin A recovered, and both neonates appear normal at the age of 6 months. According to our review of the literature, this is the first reported case in which both twins survived vasa previa complicated by ruptured membranes.
authors.affiliation: Good Samaritan Hospital, Puyallup, Washington.
authors.forename: J H
authors.initials: JH
authors.lastname: Duenhoelter
mesh_terms: D000208:Acute Disease; D000328:Adult; D002585:Cesarean Section; D004200:Diseases in Twins; D005260:Female; D005323:Fetal Monitoring; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000401:mortality; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D012421:Rupture; D014427:Twins; D014429:Twins, Dizygotic; D014470:Umbilical Cord