title: Vasa praevia: a case report and literature review.
abstract: Background.The aim of this article is to present a rare clinical case of vasa praevia as well as to assess the relevance of the problem by reviewing the latest literature sources.Materials and methods.In this report we present a case of a 33-year-old woman diagnosed with vasa praevia at 33 weeks of pregnancy, after hospitalisation with preterm rupture of membranes following the delivery of a live healthy baby through a lower segment Caesarean section during 33rd week of gestation at Vilnius University Hospital Santariškių Clinics. We investigated all the documentation of the patient before and after delivery.Results and conclusions.Vasa praevia is a rather rare pathology which is likely to occur during pregnancy, may result in heavy bleeding and be particularly threatening to the fetus life. A timely diagnosis for these women is essential. The gold standard for vasa praevia diagnosis is the fetal ultrasound scan. Vasa praevia pathology is found during the routine second trimester ultrasound check-up. The selection of proper tactics applied during pregnancy care is essential. At the gestational age of 28-32, it is advisable to mature fetal lungs as well as the fetus condition should be investigated by a perinatologist. The mode of delivery is the C-section which tends to reduce the frequency of possible complications.
authors.affiliation: Centre of Obstetrics and Gynaecology, Vilnius University Hospital Santariškių Clinics, Vilnius, Lithuania.
authors.forename: Kristina
authors.initials: K
authors.lastname: Norvilaitė
authors.affiliation: Centre of Obstetrics and Gynaecology, Vilnius University Hospital Santariškių Clinics, Vilnius, Lithuania.
authors.forename: Aurelija
authors.initials: A
authors.lastname: Peštenytė
authors.affiliation: Centre of Obstetrics and Gynaecology, Vilnius University Hospital Santariškių Clinics, Vilnius, Lithuania.|Faculty of Medicine, Vilnius University.
authors.forename: Diana
authors.initials: D
authors.lastname: Bužinskienė
authors.affiliation: Centre of Obstetrics and Gynaecology, Vilnius University Hospital Santariškių Clinics, Vilnius, Lithuania.|Faculty of Medicine, Vilnius University.
authors.forename: Gražina
authors.initials: G
authors.lastname: Drąsutienė
authors.affiliation: Centre of Obstetrics and Gynaecology, Vilnius University Hospital Santariškių Clinics, Vilnius, Lithuania.|Faculty of Medicine, Vilnius University.
authors.forename: Audronė
authors.initials: A
authors.lastname: Arlauskienė
authors.affiliation: Faculty of Medicine, Vilnius University.|Centre of Abdominal Surgery, Vilnius University Hospital Santariškių Clinics.
authors.forename: Tomas
authors.initials: T
authors.lastname: Poškus
authors.affiliation: Faculty of Medicine, Vilnius University.|Centre of Abdominal Surgery, Vilnius University Hospital Santariškių Clinics.
authors.forename: Andrej
authors.initials: A
authors.lastname: Ostapenko
keywords: bleeding; childbirth; newborn outcomes; obstetrical management; pregnancy; vasa praevia