title: A close call: does the location of incision at cesarean delivery matter in patients with vasa previa? A case report.
abstract: We present here a case of vasa previa in a multipara, diagnosed at the time of her late second trimester ultrasonogram. The patient subsequently underwent an elective cesarean section after 37 weeks gestation, giving birth to a healthy child with an uneventful post-partum, neonatal and infant course. At the time of cesarean section, the incision was gradually deepened in layers through the myometrium by utmost care allowing the amniotic sac to protrude through the uterine incision hereby avoiding laceration of the vasa previa and its branches. Fetal exsanguination and a need for blood transfusion as well as a possible adverse neonatal course were therefore avoided.
authors: Division of Reproductive Endocrinology & Infertility, Beth Israel Deaconess Medical Center/Boston IVF, Harvard Medical School, Boston, MA, USA.
authors: Werner M
authors: WM
authors: Neuhausser
authors: Adjunct Professor Ob-Gyn, New York University School of Medicine, New York, NY, USA ; Professor Emerita, Clinical Obstetrics and Gynecology, Columbia University, New York, NY, USA.
authors: Laxmi V
authors: LV
authors: Baxi