G2P1, history of SVD at 39 weeks. Patient presents for level | Figure 1

G2P1, history of SVD at 39 weeks. Patient presents for level 2 ultrasound at 20 weeks. Complete placenta previa with abnormal cord insertion highly suspicious of vasa previa. She’ll come back in 4 weeks for further imaging.

The author made an update to this case

Update 1

Patient delivered a healthy baby boy at 34.5 weeks via c section. Confirmed vasa previa at time of delivery.

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bilobed #Placenta-previa #Placenta-accreta necessitating cesarean delivery at 34 weeks.

#Placenta-accreta #Placenta-previa

twin #Placenta showing a velamentous cord insertion, where the #Umbilical-cord inserts into the membranes before it reaches the placental disc. In this case, the cord inserts into the dividing membrane (other placental disc is on other side of membranes). This can (but doesn't always) create a serious problem for the baby or babies. Since these vessels are usually protected by the placenta itself, having them exposed like this with a weak support, they are much more susceptible to rupture. The obstetric complication is known as #Vasa-previa and can also occur with accessory-lobed placentas.

G2P1 with Vasa Previa at 35 weeks. Urgent cesarean section for occasional variable decelerations. Mom and baby are both well on POD2.

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