Vasa previa: avoiding incising the membranes at cesarean delivery

Yinka Oyelese; Matt Iammatteo; Steve Domnitz; Martin R Chavez

doi:10.1016/j.ajog.2022.07.010

Vasa previa: avoiding incising the membranes at cesarean delivery

Am J Obstet Gynecol. 2022 Nov;227(5):770-772. doi: 10.1016/j.ajog.2022.07.010. Epub 2022 Jul 15.

Authors

Yinka Oyelese¹, Matt Iammatteo², Steve Domnitz³, Martin R Chavez⁴

Affiliations

¹ Division of Maternal Fetal Medicine, Beth Israel Deaconess Medical Center, Boston, MA; Morristown Medical Center, Morristown, NJ. Electronic address: koyelese@bidmc.harvard.edu.
² Morristown Medical Center, Morristown, NJ; Madison Avenue OB-GYN, Morristown, NJ.
³ Associates in Women's Healthcare, Wayne, NJ.
⁴ Division of Maternal Fetal Medicine, Department of Obstetrics & Gynecology, NYU-Langone Hospital-Long Island Mineola, Long Island, NY.

PMID: 35843270
DOI: 10.1016/j.ajog.2022.07.010

Abstract

We present our technique for cesarean delivery of prenatally diagnosed vasa previa in which we avoid incising the membranes and fetal vessels. This technique allows direct visualization of the fetal blood vessels and may prevent blood loss from the baby at the time of birth.

Keywords: cesarean delivery; en caul delivery; vasa previa.