Jiří VojtěchAug 26, 2023

Vasa Previa: Natural history, Clinical presentation and Management

↪️ https://journals.lww.com/greenjournal/fulltext/2023/09000/vasa_previa.9.aspx

via #TheGreenJournal

#ObGyn #obgynodon #PerinatalHealth #vasaprevia #bleeding #pregnancy

Vasa Previa : Obstetrics & Gynecology

sible to diagnose the condition prenatally, allowing cesarean delivery before labor or rupture of the membranes. Several recent studies have indicated excellent outcomes with prenatally diagnosed vasa previa. However, outcomes continue to be dismal when vasa previa is undiagnosed before labor. Risk factors for vasa previa include second-trimester placenta previa and low-lying placentas, velamentous cord insertion, placentas with accessory lobes, in vitro fertilization, and multifetal gestations. Recognition of individuals who are at risk and screening them will greatly decrease the mortality rate from this condition. Because of the relative rarity of vasa previa, there are no randomized controlled trials to guide management. Therefore, recommendations on the diagnosis and management of vasa previa are based largely on cohort studies and expert opinion. This Clinical Expert Series review addresses the epidemiology, pathophysiology, natural history, diagnosis and management of vasa previa, as well as innovative treatments for the condition....

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Jiří VojtěchAug 23, 2023

COMMENTARY: CONSENSUS STATEMENT
Consensus Bundle on Sepsis in Obstetric Care

↪️ https://journals.lww.com/greenjournal/fulltext/2023/09000/alliance_for_innovation_on_maternal_health_.7.aspx

via #TheGreenJournal 🟢

- Readiness
- Recognition
- Response
- Reporting
- Respectful care

#ObGyn #obgynodon #PerinatalHealth #sepsis #delivery

Alliance for Innovation on Maternal Health: Consensus... : Obstetrics & Gynecology

that deaths are preventable much of the time and are caused by delays in recognition, treatment, and escalation of care. The “Sepsis in Obstetric Care” patient safety bundle provides guidance for health care teams to develop coordinated, multidisciplinary care for pregnant and postpartum people by preventing infection and recognizing and treating infection early to prevent progression to sepsis. This is one of several core patient safety bundles developed by AIM (the Alliance for Innovation on Maternal Health) to provide condition- or event-specific clinical practices that should be implemented in all appropriate care settings. As with other bundles developed by AIM, the “Sepsis in Obstetric Care” patient safety bundle is organized into five domains: Readiness, Recognition and Prevention, Response, Reporting and Systems Learning, and Respectful, Equitable, and Supportive Care. The Respectful, Equitable, and Supportive Care domain provides essential best practices to support respectful, equitable, and supportive care to all patients. Further health equity considerations are integrated into the elements of each domain....

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