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Re: bad glad/VasaPreviaFrom: Joanne Bulley, MD (jbulley@cheshire.net)Fri Feb 25 16:47:49 2000
I have been involved with one of these. Unfortunately, the baby has a small blood volume. Therefore, anything other than a dead baby is mostly pure luck. Our Mom was P-0, was admitted with a ? of high leak then had SROM - with bleeding, but less than is commonly seen at the onset of active labor. The "clue" was that we put her on the monitor and the fetal tracing was much more ominous than was expected for the bloody discharge seen. There was rather immediate onset of severe variable decels that got worse and worse. Baby born by Cesarean with APGAR 0/0 but was resuscitated with immediate umbilical infusion of ablumin. Baby went through a variety of newborn complications as a result of this start in life and does have some lifelong disabilities. At Cesarean, we had already thought of Vasa Previa and alerted the Pediatrician so the albumin and umbilical tray were there. I guess the thing to "learn" here - is keep the diagnosis of Vasa Previa in mind for any vaginal bleeding in labor and be ready to get in there quick. Respectful of all the things Mother Nature can through at us - keeps me humble! Joanne Bulley
At Fri, 25 Feb 2000, Ronnie Martinez Brignardello wrote:
>
-- Joanne Bulley, MD Keene, NH
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