Is ultrasound screening for vasa praevia clinically justified and a financially viable screening test? A literature review

Journal article


Gillian Coleman and Heather Venables 2018. Is ultrasound screening for vasa praevia clinically justified and a financially viable screening test? A literature review. Ultrasound. 26 (1), pp. 6-15. https://doi.org/10.1177/1742271x17747139
AuthorsGillian Coleman and Heather Venables
Abstract

Vasa praevia is an obstetric complication currently not screened for within the United Kingdom, which if undetected prenatally can lead to fetal death when the membranes rupture. Internationally, guidelines are available providing guidance on the best screening policy and management pathways. However, the UK National Screening Committee and Royal College of Obstetricians and Gynaecologists do not support screening due to a lack of evidence. Recent studies explore the ability of ultrasound to detect vasa praevia prenatally in both the general and high-risk populations. Whilst there is no consensus on the ‘best’ screening strategy, the majority of authors note that targeted screening of the high-risk population is the most achievable and cost-effective strategy. Although not infallible, a standard screening protocol could identify the majority of cases in the high-risk group. Introduction of a screening strategy would affect training needs of professionals within the UK and would have implications on the need to produce guidelines on management and quality assurance. Further research is also needed to define a relevant high-risk population and explore how this would impact on service provision. This review explores the current evidence base for systematic screening and the implications for service.

KeywordsVasa praevia; Ultrasound; Screening; Bilobed placenta; Velamentous cord insertion; Antepartum haemorrhage
Year2018
JournalUltrasound
Journal citation26 (1), pp. 6-15
PublisherSage
ISSN1742-271X
Digital Object Identifier (DOI)https://doi.org/10.1177/1742271x17747139
Web address (URL)https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC5810858&blobtype=pdf
https://journals.sagepub.com/doi/10.1177/1742271X17747139
hdl:10545/622424
Output statusPublished
Publication dates07 Feb 2018
Publication process dates
Deposited21 Mar 2018, 16:03
Accepted17 Nov 2017
Rights

Archived with thanks to Ultrasound

ContributorsUniversity of Derby, College of Health and Social Care, University of Derby, Derby, UK and College of Health and Social Care, University of Derby, Derby, UK
File
File Access Level
Restricted
Permalink -

https://repository.derby.ac.uk/item/93q30/is-ultrasound-screening-for-vasa-praevia-clinically-justified-and-a-financially-viable-screening-test-a-literature-review

  • 65
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Exploring UK sonographers’ views on the use of professional supervision in clinical practice – Stage one findings of a mixed method study
Coleman, G., E. Hyde and Strudwick, R. 2024. Exploring UK sonographers’ views on the use of professional supervision in clinical practice – Stage one findings of a mixed method study. Radiography. 30 (1), pp. 252-256. https://doi.org/10.1016/j.radi.2023.11.011
The significance of ultrasound features of sub-chorionic haemorrhage as a predictor of adverse perinatal outcome: A retrospective review
Rebecca White and Heather Kilgour Venables 2023. The significance of ultrasound features of sub-chorionic haemorrhage as a predictor of adverse perinatal outcome: A retrospective review. European Journal of Obstetrics & Gynecology and Reproductive Biology. 289, pp. 23-28. https://doi.org/10.1016/j.ejogrb.2023.08.009
Is there a role for professional supervision in supporting the professional and personal wellbeing of the sonographic workforce? A literature review
G. Coleman and Hyde, E. 2022. Is there a role for professional supervision in supporting the professional and personal wellbeing of the sonographic workforce? A literature review. Radiography. 28 (4), pp. 991-998. https://doi.org/10.1016/j.radi.2022.07.008
Comparing intrapartum ultrasound and clinical examination in the assessment of fetal head position in African women
Wiafe, Y., Whitehead, B., Venables, H. and Dassah, E.T. 2019. Comparing intrapartum ultrasound and clinical examination in the assessment of fetal head position in African women. Journal of Ultrasonography. 19, p. 249–254. https://doi.org/10.15557/jou.2019.0037
Acceptability of intrapartum ultrasound by mothers in an African population
Wiafe, Yaw Amo, Whitehead, Bill, Venables, Heather and Dassah, Edward T 2019. Acceptability of intrapartum ultrasound by mothers in an African population. Journal of Ultrasound. 23, pp. 55-59. https://doi.org/10.1007/s40477-019-00382-5
Sonographic parameters for diagnosing fetal head engagement during labour
Wiafe, Y.A., Whitehead, B., Venables, H. and Odoi, A.T. 2018. Sonographic parameters for diagnosing fetal head engagement during labour. Ultrasound. https://doi.org/10.1177/1742271x18755080
The effectiveness of intrapartum  ultrasonography in assessing cervical dilatation, head station and position: A systematic review and meta-analysis
Wiafe, Y.A., Whitehead, B., Venables, H. and Nakua, E.K. 2016. The effectiveness of intrapartum  ultrasonography in assessing cervical dilatation, head station and position: A systematic review and meta-analysis. Ultrasound. https://doi.org/10.1177/1742271x16673124
Ventilatory muscle strength, diaphragm thickness and pulmonary function in world-class powerlifters
Brown, Peter I., Venables, Heather, Liu, Hymsuen, de Witt, Julie T., Brown, Michelle R. and Faghy, Mark 2013. Ventilatory muscle strength, diaphragm thickness and pulmonary function in world-class powerlifters. European Journal of Applied Physiology. 113, p. 2849–2855. https://doi.org/10.1007/s00421-013-2726-4