Early Finding of Vasa Previa: A Case Report


Rizka Adi Nugraha Putra(1*), Irwan Taufiqur Rachman(2), Heru Pradjatmo(3)

(2) Departemen Obstetri dan Ginekologi, FKKMK UGM
(3) Departemen Obstetri dan Ginekologi, FKKMK UGM
(*) Corresponding Author


Vasa previa is referred to the condition of running of fetal vessels that are unprotected by placenta or umbilical cord, within the membranes over the cervix and under the presenting part of the fetus. Due to its membranous vessels, risk of being compressed or ruptures could lead to fetal demise, exsanguination or even death. Its exact etiology is still unknown but multiple risk factors are known, such as low-lying placenta, placenta previa, multiple pregnancies, multilobed placenta and velamentous umbilical cord anchorage, and assisted pregnancy like invitro fertilization.

In this report we report a case of 40 years old woman, G3P1A1 at 35 weeks of gestation and history of C-section due to preeclampsia and breech presentation and curettage due to blighted ovum. Early prenatal diagnosis using ultrasonography examination could increase the survival rate of the fetus if followed by sufficient measure after diagnosed. Cesarean birth is the safest mode of delivery even before the clinical signs or onset of labor occurred.


vasa previa, pregnancy; antenatal bleeding; newborn outcomes

Full Text:



  1. Aug;2(3):100117.
  2. Oyelese KO, Turner M, Lees C, Campbell S. Vasa previa: an avoidable obstetric tragedy. Obstetrical & gynecological survey. 1999 Feb;54(2):138–45.
  3. Oyelese Y, Smulian JC. Clinical Expert Series Placenta Previa, Placenta Accreta, and Vasa Previa [Internet]. 2006. Available from: www.greenjournal.org
  4. Robert JA, Sepulveda W. Fetal exsanguination from ruptured vasa previa: still a catastrophic event in modern obstetrics. Journal of Obstetrics and Gynaecology [Internet]. 2003 Jan 1;23(5):574. Available from: https://doi.org/10.1080/0144361031000156636
  5. Sinkey RG, Odibo AO, Dashe JS. #37: Diagnosis and management of vasa previa. American Journal of Obstetrics and Gynecology. 2015 Nov 1;213(5):615–9.
  6. Jauniaux ERM, Alfirevic Z, Bhide AG, Burton GJ, Collins SL, Silver R. Vasa Praevia: Diagnosis and Management: Green-top Guideline No. 27b. BJOG: An International Journal of Obstetrics and Gynaecology. 2019 Jan 1;126(1):e49–61.
  7. Silver RM. Abnormal placentation. Vol. 126, Obstetrics and Gynecology. Lippincott Williams and Wilkins; 2015. p. 654–68.
  8. Derbala Y, Grochal F, Jeanty P. 2-13. Vol. 1, Journal of Prenatal Medicine. 2007. In vitro fertilization is a risk factor for vasa previa.
  9. Daly-Jones, et al. Vasa Praevia : A Preventable Tragedy. Ultrasound. British Medical Ultrasound Society. 2008;16(1):8–14.
  10. King LJ, Dhanya Mackeen A, Nordberg C, Paglia MJ. Maternal risk factors associated with persistent placenta previa. Placenta [Internet]. 2020;99:189–92. Available from: https://www.sciencedirect.com/science/article/pii/S0143400420302575
  11. WHO recommendations on antenatal care for a positive pregnancy experience.
  12. Ruiter L, Kok N, Limpens J, Derks JB, de Graaf IM, Mol BWJ, et al. Systematic review of accuracy of ultrasound in the diagnosis of vasa previa. Ultrasound in Obstetrics and Gynecology. 2015 May 1;45(5):516–22.
  13. Oyelese KO, Schwärzler P, Coates S, Sanusi FA, Hamid R, Campbell S. A strategy for reducing the mortality rate from vasa previa using transvaginal sonography with color Doppler.
  14. Gagnon R, Morin L, Bly S, Butt K, Cargill YM, Denis N, et al. Guidelines for the Management of Vasa Previa. Journal of Obstetrics and Gynaecology Canada [Internet]. 2009;31(8):748–53. Available from: https://www.sciencedirect.com/science/article/pii/ S1701216316342827

DOI: https://doi.org/10.22146/jkr.65005

Article Metrics

Abstract views : 1186 | views : 1004


  • There are currently no refbacks.

Copyright (c) 2022 The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Kesehatan Reproduksi Indexed by:



Departemen Obstetri dan Ginekologi, FK-KMK, UGM/RS Dr. Sardjito
Jl. Kesehatan No. 1, Sekip Utara, Yogyakarta 55281
Tlp: (0274) 511329 / Faks: (0274) 544003
Email: jurnal.kesehatanreproduksi@ugm.ac.id
Cp: Dwi Astuti +6281802698043