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The association between vasa previa, multiple gestations, and assisted reproductive technology.

Abstract
Patients with multiple gestations, low-lying placentas, velamentous cord insertions, and history of assisted conception should be evaluated carefully for a vasa previa. Serial surveillance for signs of preterm labor and elective cesarean delivery at 34 to 35 weeks after corticosteroids for fetal lung maturity is a reasonable management strategy for vasa previa in multiple gestations.
AuthorsManisha Gandhi, Jane Cleary-Goldman, Lauren Ferrara, Doina Ciorica, Daniel Saltzman, Andrei Rebarber
JournalAmerican journal of perinatology (Am J Perinatol) Vol. 25 Issue 9 Pg. 587-9 (Oct 2008) ISSN: 1098-8785 [Electronic] United States
PMID18850518 (Publication Type: Journal Article)
Topics
  • Cesarean Section
  • Female
  • Fertilization in Vitro (adverse effects)
  • Fetal Monitoring (methods)
  • Follow-Up Studies
  • Humans
  • Maternal Age
  • Monitoring, Physiologic (methods)
  • Obstetric Labor Complications (diagnostic imaging)
  • Placenta (abnormalities, blood supply)
  • Placenta Diseases (diagnostic imaging, physiopathology)
  • Pregnancy
  • Pregnancy Outcome
  • Pregnancy, Multiple
  • Reproductive Techniques, Assisted
  • Risk Assessment
  • Sampling Studies
  • Twins
  • Ultrasonography, Prenatal
  • Young Adult

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