دورية أكاديمية

Current Evidence on Vasa Previa without Velamentous Cord Insertion or Placental Morphological Anomalies (Type III Vasa Previa): Systematic Review and Meta-Analysis

التفاصيل البيبلوغرافية
العنوان: Current Evidence on Vasa Previa without Velamentous Cord Insertion or Placental Morphological Anomalies (Type III Vasa Previa): Systematic Review and Meta-Analysis
المؤلفون: Yuki Takemoto, Shinya Matsuzaki, Satoko Matsuzaki, Mamoru Kakuda, Misooja Lee, Harue Hayashida, Michihide Maeda, Shoji Kamiura
المصدر: Biomedicines; Volume 11; Issue 1; Pages: 152
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2023
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: vasa previa, type III vasa previa, assisted reproductive technique, bilobed placenta, succenturiate lobes, accessory lobes, velamentous cord insertion
الوصف: Vasa previa carries a high risk of severe fetal morbidity and mortality due to fetal hemorrhage caused by damage to unprotected fetal cord vessels upon membrane rupture. Vasa previa is generally classified into types I and II. However, some cases are difficult to classify, and some studies have proposed a type III classification. This study aimed to review the current evidence on type III vasa previa. A systematic literature search was conducted, and 11 articles (2011–2022) were included. A systematic review showed that type III vasa previa accounts for 5.7% of vasa previa cases. Thirteen women with type III vasa previa were examined at a patient-level analysis. The median age was 35 (interquartile range [IQR] 31.5–38) years, and approximately 45% were assisted reproductive technology (ART) pregnancies. The median gestational week of delivery was 36 (IQR 34–37) weeks; the antenatal detection rate was 84.6%, and no cases reported neonatal death. The characteristics and obstetric outcomes (rate of ART, antenatal diagnosis, emergent cesarean delivery, gestational age at delivery, and neonatal mortality) were compared between types I and III vasa previa, and all outcomes of interest were similar. The current evidence on type III vasa previa is scanty, and further studies are warranted.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
العلاقة: Molecular and Translational Medicine; https://dx.doi.org/10.3390/biomedicines11010152Test
DOI: 10.3390/biomedicines11010152
الإتاحة: https://doi.org/10.3390/biomedicines11010152Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.1E3FDF94
قاعدة البيانات: BASE