2018RCOG指南_前置血管的诊断和管理(No.27b).pdf

Vasa Praevia: Diagnosis and Management Green-top Guideline No. 27b September 2018 Please cite this paper as: Jauniaux ERM, Alfirevic Z, Bhide AG, Burton GJ, Collins SL, Silver R on behalf of the Royal College of Obstetricians and Gynaecologists. Vasa praevia: diagnosis and management. Green-top Guideline No. 27b. BJOG 2018; /10.1111/1471-0528.15307. DOI: 10.1111/1471-0528.15307 RCOG Green-top Guidelines Vasa Praevia: Diagnosis and Management ERM Jauniaux, Z Alfirevic, AG Bhide, GJ Burton, SL Collins, R Silver, on behalf of the Royal College of Obstetricians and Gynaecologists Correspondence: Royal College of Obstetricians and Gynaecologists, 27 Sussex Place, Regent’s Park, London NW1 4RG. Email: clinicaleffectiveness@.uk This is the fourth edition of this guideline. The first, published in 2001, was entitled Placenta Praevia: Diagnosis and Management; the second, published in 2005, was entitled Placenta Praevia and Placenta Praevia Accreta: Diagnosis and Management; and the third, published in 2011, was entitled Placenta Praevia, Placenta Praevia Accreta and Vasa Praevia: Diagnosis and Management. The management and diagnosis of placenta praevia and placenta accreta is addressed in Green-top Guideline No. 27a. Executive summary Management of women with undiagnosed vasa praevia at delivery Emergency caesarean delivery and neonatal resuscitation, including the use of blood transfusion B if required, are essential in the management of ruptured vasa praevia diagnosed during labour. Placental pathological examination should be performed to confirm the diagnosis of vasa P praevia, in particular when stillbirth has occurred or where there has been acute fetal compromise during delivery. [New 2018] Can vasa praevia b