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  • Title: Prenatal ultrasound diagnosis of vasa praevia and analysis of risk factors.
    Author: Baulies S, Maiz N, Muñoz A, Torrents M, Echevarría M, Serra B.
    Journal: Prenat Diagn; 2007 Jul; 27(7):595-9. PubMed ID: 17497747.
    Abstract:
    OBJECTIVE: To evaluate the role of ultrasound in prenatal diagnosis of vasa praevia (VP) and to asses the risk of VP associated with different causal factors. MATERIAL AND METHODS: A retrospective study of the incidence of VP in a series of 12,063 deliveries between January 2000 and March 2005. We also studied the factors that predisposed for VP and the perinatal outcome of pregnancies. RESULTS: The prevalence of VP in our centre during this period was 0.07% (9 cases). All cases were prenatally diagnosed. The mean gestational age at diagnosis was 26 weeks. Multivariate analysis revealed the following associated factors: IVF pregnancies, bilobate or succenturiate placenta, and second-trimester placenta praevia, with an odds ratio of 7.75, 22.11 and 22.86, respectively. CONCLUSIONS: In our series, the prenatal diagnosis of all cases of VP achieved during the second-trimester scan allowed us to avoid any prenatal death related to this condition.
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