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Gynaecology & Obstetrics Obstetrics 209e4095

All of the following are true about vasa pre except:

A
Incidence is 1:2000 deliveries
B
Fetal moality rate of 10% with undiagnosed case
C
Associated with low lying placenta
D
Cesarean section is indicated
High-Yield Explanation
Vasa pre - It is a condition in which the fetal blood vessels unsuppoed by either umblical cord or placental tissue,Overlies the internal os and is vulnerable to rupture when suppoing membrane rupture. Bleeding in case of vasa pre is of fetal origin and not maternal origin. Fetal moality is often more than 50% It is rare condition and occurs in 1 in 2000 - 3000 deliveries Vasa pre can be associated with - Velamentous cord inseion - Bilobed placenta - Succenturiate lobed placenta - Placenta pre /low lying placenta in second trimester (option 'c' is correct) Management- In a diagnosed case of vasa pre elective cesarean section should be done or emergency LSCS should Be done if it is diagnosed intrapaum.

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