The association between vasa previa, multiple gestations, and assisted reproductive technology.
Patients with multiple gestations, low-lying placentas, velamentous cord insertions, and history of assisted conception should be evaluated carefully for a vasa previa. Serial surveillance for signs of preterm labor and elective cesarean delivery at 34 to 35 weeks after corticosteroids for fetal lung maturity is a reasonable management strategy for vasa previa in multiple gestations.
Gandhi
Manisha
M
Mount Sinai School of Medicine, New York, New York 10029, USA. manisha.gandhi@mssm.edu
Cleary-Goldman
Jane
J
Ferrara
Lauren
L
Ciorica
Doina
D
Saltzman
Daniel
D
Rebarber
Andrei
A
D002585:Cesarean Section; D005260:Female; D005307:Fertilization in Vitro / Q000009:adverse effects*; D005323:Fetal Monitoring / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008423:Maternal Age; D008991:Monitoring, Physiologic / Q000379:methods; D007744:Obstetric Labor Complications / Q000000981:diagnostic imaging*; D010920:Placenta / Q000002:abnormalities / Q000098:blood supply*; D010922:Placenta Diseases / Q000000981:diagnostic imaging* / Q000503:physiopathology; D011247:Pregnancy; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple; D027724:Reproductive Techniques, Assisted; D018570:Risk Assessment; D012494:Sampling Studies; D014427:Twins; D016216:Ultrasonography, Prenatal; D055815:Young Adult