Pränatalmedizin – Nabelschnurinsertionen – in Schwangerenvorsorge zu wenig beachtet

Die Detektion von Insertionsfehlbildungen sollte in das Regelprogramm der Schwangerenvorsorge aufgenommen werden, meinen Golic und Henrich. Warum, erläutern die Autoren im Folgenden.

• Literatur

• 1 Ebbing C, Kiserud T, Johnsen SL, Albrechtsen S, Rasmussen S. Prevalence, risk factors and outcomes of velamentous and marginal cord insertions: A population-based study of 634,741 pregnancies. PloS one 2013; 8: e70380
• 2 Sepulveda W, Rojas I, Robert JA, Schnapp C, Alcalde JL. Prenatal detection of velamentous insertion of the umbilical cord: A prospective color doppler ultrasound study. Ultrasound Obstet Gynecol 2003; 21: 564-569
• 3 Fung TY, Lau TK. Poor perinatal outcome associated with vasa previa: Is it preventable? A report of three cases and review of the literature. Ultrasound Obstet Gynecol 1998; 12: 430-433
• 4 Bowman ZS, Byrne JL, Kennedy AM. Velamentous cord insertion with variable umbilical cord doppler changes. J Ultrasound Med 2014; 33: 2039-2041
• 5 Eddleman KA, Lockwood CJ, Berkowitz GS, Lapinski RH, Berkowitz RL. Clinical significance and sonographic diagnosis of velamentous umbilical cord insertion. Am J Perinatol 1992; 9: 123-126
• 6 Heinonen S, Ryynanen M, Kirkinen P, Saarikoski S. Perinatal diagnostic evaluation of velamentous umbilical cord insertion: Clinical, doppler, and ultrasonic findings. Obstet Gynecol 1996; 87: 112-117
• 7 Hasegawa J, Matsuoka R, Ichizuka K, Nakamura M, Sekizawa A, Okai T. Do fetal heart rate deceleration patterns during labor differ between various umbilical cord abnormalities?. Journal of Perinatal Medicine 2009; 37: 276-280
• 8 Schachter M, Tovbin Y, Arieli S, Friedler S, Ron-El R, Sherman D. In vitro fertilization is a risk factor for vasa previa. Fertil Steril 2002; 78: 642-643
• 9 Oyelese Y, Catanzarite V, Prefumo F et al. Vasa previa: The impact of prenatal diagnosis on outcomes. Obstet Gynecol 2004; 103: 937-942
• 10 Young M, Yule N, Barham K. The role of light and sound technologies in the detection of vasa praevia. Reproduction, Fertility and Development 1991; 3: 439-445
• 11 Robert JA, Sepulveda W. Fetal exsanguination from ruptured vasa previa: Still a catastrophic event in modern obstetrics. Journal of Obstetrics and Gynaecology 2003; 23: 574
• 12 Oyelese KO, Turner M, Lees C, Campbell S. Vasa previa: An avoidable obstetric tragedy. Obstet Gynecol Surv 1999; 54: 138-145
• 13 Catanzarite V, Maida C, Thomas W, Mendoza A, Stanco L, Piacquadio KM. Prenatal sonographic diagnosis of vasa previa: Ultrasound findings and obstetric outcome in ten cases. Ultrasound Obstet Gynecol 2001; 18: 109-115
• 14 Golic M, Hinkson L, Bamberg C et al. Vasa praevia: Risk-adapted modification of the conventional management—a retrospective study. Ultraschall in Med 2013; 34: 368-376
• 15 Lee W, Lee VL, Kirk JS, Sloan CT, Smith RS, Comstock CH. Vasa previa: Prenatal diagnosis, natural evolution, and clinical outcome. Obstet Gynecol 2000; 95: 572-576
• 16 Monteagudo A, Sfakianaki AK, Timor-Tritsch IE. Velamentous insertion of the cord in the first trimester. Ultrasound Obstet Gynecol 2000; 16: 498-499
• 17 Sepulveda W. Velamentous insertion of the umbilical cord: A first-trimester sonographic screening study. J Ultrasound Med 2006; 25: 963-968 quiz 970