Preeclampsia Asociada a Vasa Previa

Abstract

The Preeclampsia is defined as the appearance of hypertension and proteinuria after the week 20 of the pregnancy. It is in the habit of accompanying of edema in low members but the presence is not necessary of these to be diagnosed. It is an own disease of the pregnancy of which they can treat the symptoms, but only he recovers with the ending of the same one, can cause serious complications both for the woman and for the fetus.

The previous vasa is a rare reason of hemorrhage of the third quarter of the pregnancy, in which blood glasses from the placenta intervene between the presentation and the cervical internal orifice. It is a question of a pathology that in most cases is not diagnosed during the pregnancy but she is looked specifically, being responsible for a high mortality perinatal that ranges between 60 % to 90 %, according to different bibliographical sources.

There presents a case of one 38-year-old feminine patient, with pregnancy of 31 weeks diagnosed by ultrasound scan, there comes for migraine holocraneana of moderate intensity sharp type that it increases with the activity, accompanied of bled vaginal, does +/-24 hours in few quantity red sparkling color, 20 hours ago it recounts decrease of foetal movements, 12 hours ago abdominal pain adds constant type of moderated to great intensity located in upper abdomen, there is realized ultrasound scan in which there is demonstrated previous occlusive partial placenta and to rejecting vasa previous, there is demonstrated in the foetal electronic monitoring commitment of the foetal well-being, by what emergency Caesarean is realized being the only alive fetus premature baby deposited to neonatalogy, in this clinical case the association was looking between preeclampsia and vasa previous that on not having been it also was discarding it, at the same time one was determining the factors of risk as well as the diagnosis and treatment of the pathologies treated in the topic.