USG examination of a 28-week pregnant primigravida shows vasa pre. All of the following are true, EXCEPT:
Vasa pre is a condition in which fetal vessels traverse the membranes in the lower uterine segment, crossing over the cervical os on front of the fetal head. Vasa pre complicates approximately 1 in 1000 to 1 in 5000 pregnancies. Perinatal moality ranges from 30% to 100%. The appropriate course of action is to deliver immediately caesarean section to prevent impending fetal demise. Ref: Wagner S.A. (2013). Chapter 18. Third-Trimester Vaginal Bleeding. In A.H. DeCherney, L. Nathan, N. Laufer, A.S. Roman (Eds), CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e.
Incidence is 1:1500
Fetal moality rate of 20% with undiagnosed case
Associated with low lying placenta
Caesarian section is indicated