VASAPRAEVIA

DEFINITION
When a fetal blood vessel lies over the os in front of
the presenting part is called vasapraevia.
DIAGNOSIS
It may be diagnosed anenatally using
Ultrasound
Palpated on vaginal examination when membranes are
intact.
Speculum examination
SIGNS
When the membranes rupture, fetal vessels also rupture.
 Fresh vaginal bleeding
 Fetal distress
MANAGEMENT
Fetal heart rate should be monitored
If the mother is in the first stage of labour fetus is still
alive, emergency caesarean section is carried out.
In second stage delivery may be by vaginal delivery.
There is high fetal mortality with this ,so pediatrician
should be present for the birth.
If baby born alive resuscitation, haemoglobin
estimation and blood transfusion will be done.