Resident Assistant.
Associate Professor.
Obstet Gynecol Surv. 2019 Jul;74(7):436-442. doi: 10.1097/OGX.0000000000000692.
Vasa previa represents an uncommon and life-threatening condition for the fetus. The prenatal identification of the condition may improve the outcome.
The aim of this study was to synthesize and compare published evidence of 4 national guidelines on diagnosis and management of vasa previa.
A descriptive review of 4 recently published national guidelines on vasa previa was conducted: Royal College of Obstetricians and Gynaecologists on "Vasa Praevia: Diagnosis and Management," Society for Maternal-Fetal Medicine on "Diagnosis and Management of Vasa Previa," Society of Obstetricians and Gynaecologists of Canada on "Guidelines for the Management of Vasa Previa," and the Royal Australian and New Zealand College of Obstetricians and Gynaecologists on "Vasa Praevia." These guidelines were compared regarding recommendations on diagnosis and management, while the quality of evidence was also reviewed based on each method of reporting.
There were many similar recommendations in the compared guidelines regarding the diagnosis and management of vasa previa. Early prenatal diagnosis using ultrasound and color Doppler imaging, hospitalization or management as outpatients, and cesarean delivery in a tertiary center with experienced clinicians are the main recommendations.
Evidence-based guidelines may increase the awareness of the diagnosis and management of vasa previa among health care professionals and lead to more favorable perinatal outcomes.
帆状胎盘前置是一种罕见且危及胎儿生命的情况。该病症的产前诊断可能会改善母婴结局。
本研究旨在综合比较 4 项关于帆状胎盘前置的诊断和管理的国家指南中的已发表证据。
对最近发表的 4 项关于帆状胎盘前置的国家指南进行了描述性综述：皇家妇产科医师学院的《帆状胎盘前置：诊断与管理》、母胎医学学会的《帆状胎盘前置的诊断与管理》、加拿大妇产科医师学会的《帆状胎盘前置管理指南》以及澳大利亚和新西兰皇家妇产科医师学院的《帆状胎盘前置》。这些指南在诊断和管理建议方面进行了比较，同时还根据每种报告方法对证据质量进行了审查。
在比较的指南中，关于帆状胎盘前置的诊断和管理存在许多相似的建议。早期产前诊断采用超声和彩色多普勒成像、住院或门诊管理以及在有经验的临床医生的三级中心行剖宫产是主要建议。
循证指南可能会提高医疗保健专业人员对帆状胎盘前置的诊断和管理意识，并导致更有利的围产期结局。
