The DOI matches its Crossref record; 34 of the 36 references it cites were found in a registry or an index.
Incidence of and risk indicators for vasa praevia: a systematic review
Open accessAbstract
Background: Vasa praevia (VP) is a rare phenomenon that is assumed to increase the risk of severe complications, including fetal death. Critical data on its incidence are lacking, so there is no rational basis for prenatal screening. Objectives: To review the literature on the incidence and risk indicators for VP. Search strategy: We searched OVID MEDLINE, OVID EMBASE, the Cochrane Library and PubMed for case–control and cohort studies on incidence and risk indicators for VP. Selection criteria: Two reviewers selected studies and scored their methodological quality. Data collection and analysis: We calculated the mean incidence of VP. We constructed 2 × 2 tables cross‐classifying potential risk indicators against the incidence of VP to calculate common odds ratios and 95% confidence intervals, using the Mantel–Haenszel method. Main results: We included 13 studies (two prospective cohort studies, ten retrospective cohort studies and one case–control study) reporting on 569 410 patients with 325 cases of VP. Based on ten included cohort studies providing information on the incidence, the mean incidence of VP was 0.60 per 1000 pregnancies. We identified five different risk indicators and markers for VP: second‐trimester placenta praevia, conception by assisted reproductive technologies, a bilobed or succenturiate placenta, umbilical cord insertion in the lower third part of the uterus at first‐trimester ultrasound and velamentous cord insertion. Almost 83% of the cases of VP had one or more risk indicators. Authors' conclusions: In view of the low incidence, screening for VP in an unselected population is not advised. Targeted screening of women with one or more risk indicators as a part of routine mid‐gestation scanning should be considered. Tweetable abstract: Vasa praevia is more common in placenta praevia, conception by ART, velamentous cord insertion and bilobed placenta.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Risk factors for vasa previa include twin pregnancy, conception by assisted reproductive technology, a low-lying or bilobed placenta, succenturiate placental lobes and velamentous cord insertion 95 .”
From ISUOG Practice Guidelines (updated): performance of the routine mid‐trimester fetal ultrasound scan (2022) · cites this paper as [95]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Quantifying heterogeneity in a meta‐analysis
Higgins, J. P. T., & Thompson, S. G. (2002) · Statistics in Medicine · doi:10.1002/sim.1186 · Cited by 36,763
(2014) · Medical Entomology and Zoology · Cited by 17,633
Critical analysis of risk factors and outcome of placenta previa
Rosenberg, T., Pariente, G., Sergienko, R., Wiznitzer, A., & Sheiner, E. (2011) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-010-1598-7 · Cited by 259
Oyelese, Y., Turner, M., Lees, C. C., & Campbell, S. C. (1999) · Obstetrical & Gynecological Survey · doi:10.1097/00006254-199902000-00024 · Cited by 248
Vasa previa: prenatal diagnosis, natural evolution, and clinical outcome
Lee, W. (2000) · Obstetrics and Gynecology · doi:10.1016/s0029-7844(99)00600-6 · Cited by 236
Catanzarite, V., Maida, C., Thomas, W., Mendoza, A., Stanco, L., & Piacquadio, K. M. (2001) · Ultrasound in Obstetrics and Gynecology · doi:10.1046/j.1469-0705.2001.00448.x · Cited by 202
Prenatal ultrasound diagnosis of vasa praevia and analysis of risk factors
Baulies, S., Maíz, N., Muñoz, A., Torrents, M., Echevarría, M., & Serra, B. (2007) · Prenatal Diagnosis · doi:10.1002/pd.1753 · Cited by 186
Räisänen, S., Georgiadis, L., Harju, M., Keski‐Nisula, L., & Heinonen, S. T. (2012) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2012.08.021 · Cited by 136
Systematic review of accuracy of ultrasound in the diagnosis of vasa previa
Ruiter, L., Kok, N., Limpens, J., Derks, J. B., de Graaf, I. M., Mol, B. W., & Pajkrt, E. (2014) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.14752 · Cited by 122
Self-citationClinical significance of pregnancies with succenturiate lobes of placenta
Suzuki, S., & Igarashi, M. (2007) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-007-0482-6 · Cited by 109
In vitro fertilization is a risk factor for vasa previa
Schachter, M. E., Tovbin, Y., Arieli, S., Friedler, S., Ron-El, R., & Sherman, D. (2002) · Fertility and Sterility · doi:10.1016/s0015-0282(02)03253-3 · Cited by 104
Clinical Significance and Sonographic Diagnosis of Velamentous Umbilical Cord Insertion
Eddleman, K. A., Lockwood, C. J., Berkowitz, G. S., Lapinski, R. H., & Berkowitz, R. D. (1992) · American Journal of Perinatology · doi:10.1055/s-2007-994684 · Cited by 102
Natural History of Vasa Previa Across Gestation Using a Screening Protocol
Rebarber, A., Dolin, C. D., Fox, N. S., Klauser, C. K., Saltzman, D. H., & Roman, A. S. (2013) · Journal of Ultrasound in Medicine · doi:10.7863/ultra.33.1.141 · Cited by 86
Daniel, Y. (1999) · Human Reproduction · doi:10.1093/humrep/14.4.1107 · Cited by 72
Englert, Y., Imbert, M., Rosendael, E. V., Belaisch, J., Segal, L., Feichtinger, W., Wilkin, P., Frydman, R., & Leroy, F. (1987) · Human Reproduction · doi:10.1093/oxfordjournals.humrep.a136500 · Cited by 70
Velamentous insertion of the cord in early pregnancy
Monie, I. W. (1965) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(65)90670-8 · Cited by 69
Cipriano, L. E., Barth, W., & Zaric, G. S. (2010) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2010.02621.x · Cited by 66
Gavriil, P., Jauniaux, E. R. M., & Leroy, F. (1993) · Pediatric Pathology · doi:10.3109/15513819309048235 · Cited by 64
Association of vasa previa at delivery with a history of second-trimester placenta previa.
Francois, K. E., Mayer, S., Harris, C., & Perlow, J. H. (2003) · PubMed · Cited by 59
Analysis of the ultrasonographic findings predictive of vasa previa
Hasegawa, J., Farina, A., Nakamura, M., Matsuoka, R., Ichizuka, K., Sekizawa, A., & Okai, T. (2010) · Prenatal Diagnosis · doi:10.1002/pd.2618 · Cited by 59
Prenatal diagnosis and management of vasa previa: A 6‐year review
Kanda, E., Matsuda, Y., Kamitomo, M., Maeda, T., Mihara, K. L., & Hatae, M. (2011) · Journal of obstetrics and gynaecology research · doi:10.1111/j.1447-0756.2011.01544.x · Cited by 50
Hasegawa, J., Matsuoka, R., Ichizuka, K., Otsuki, K., Sekizawa, A., Farina, A., & Okai, T. (2006) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.2839 · Cited by 49
Sinusoidal fetal heart rate pattern with vasa previa in twin pregnancy.
Antoine, C., Young, B. K., Silverman, F., GRECO, M. A., & Alvarez, S. P. (1982) · PubMed · Cited by 48
Prediction of risk for vasa previa at 9–13 weeks’ gestation
Hasegawa, J., Nakamura, M., Sekizawa, A., Matsuoka, R., Ichizuka, K., & Okai, T. (2011) · Journal of Obstetrics and Gynaecology Research · doi:10.1111/j.1447-0756.2011.01525.x · Cited by 41
Diagnosis and management of vasa previa: a questionnaire survey
Ioannou, C., & Wayne, C. (2009) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.7466 · Cited by 37
Can ultrasonography of the placenta previa predict antenatal bleeding?
Hasegawa, J., Higashi, M., Takahashi, S., Mimura, T., Nakamura, M., Matsuoka, R., Ichizuka, K., Sekizawa, A., & Okai, T. (2011) · Journal of Clinical Ultrasound · doi:10.1002/jcu.20849 · Cited by 26
"Wrapping myself in cotton wool": Australian women's experience of being diagnosed with vasa praevia
Javid, N., Sullivan, E., Halliday, L. E., Duncombe, G. J., & Homer, C. (2014) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-14-318 · Cited by 25
Vasa praevia after IVF: should there be guidelines? Report of two cases and literature review
Al‐Khaduri, M., Kadoch, I. J., Couturier, B., Dubé, J., Lapensée, L., & Bissonnette, F. (2007) · Reproductive BioMedicine Online · doi:10.1016/s1472-6483(10)60881-4 · Cited by 24
Association of Vasa Previa at Delivery With a History of Second-Trimester Placenta Previa
Francois, K. E., Mayer, S., Harris, C., & Perlow, J. H. (2004) · Obstetrical & Gynecological Survey · doi:10.1097/01.ogx.0000119175.75185.25 · Cited by 22
VASA PREVIA. REPORT OF 3 CASES
Naftolin, F. N., & Mishell, D. R. (1966) · Obstetrical & Gynecological Survey · doi:10.1097/00006254-196602000-00005 · Cited by 21
Is Neonatal Risk From Vasa Previa Preventable? The 20-Year Experience From a Single Medical Center
Smorgick, N., Tovbin, Y., Ushakov, F. B., Vaknin, Z., Barzilay, B., Herman, A., & Maymon, R. (2010) · Obstetrical & Gynecological Survey · doi:10.1097/ogx.0b013e3181e39b6b · Cited by 10
Various Doppler sonographic appearances and challenges in prenatal diagnosis of vasa praevia
Seince, N., Carbillon, L., Perrot, N., & Uzan, M. (2002) · Journal of Clinical Ultrasound · doi:10.1002/jcu.10096 · Cited by 8
113: Vasa-previa: a critical analysis of risk factors and perinatal outcomes of 237 cases
Weintraub, A. Y., Gutvirtz, G., Sergienko, R., & Sheiner, E. (2012) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2011.10.131 · Cited by 6
Hasegawa, J., Farina, A., Simonazzi, G., Bisulli, M., Puccetti, C., Pilu, G., Gabrielli, S., & Rizzo, N. (2011) · Prenatal Diagnosis · doi:10.1002/pd.2708 · Cited by 6
Research works printed but not linked: 2
- MatsuokaR HasegawaJ AokiH KoideK IchizukaK SekizawaA et al.15 cases of vasa previa.J Perinat Med2011;39 2011; Conference: 10th World Congress of Perinatal Medicine 2011 Punta del Este Uruguay 8–11 November 2011. Conference Publication.
- Derbala Y, 2007, Vasa previa, J Prenat Med, 1, 2
Cited by
Sorted by citations
ISUOG Practice Guidelines (updated): performance of the routine mid‐trimester fetal ultrasound scan
Salomon, L. J., Alfirevic, Z., Berghella, V., Bilardo, C. M., Chalouhi, G. E., Da Silva Costa, F., Hernandez‐Andrade, E., Malinger, G., Munoz, H., Paladini, D., et al. (2022) · Ultrasound in Obstetrics & Gynecology · doi:10.1002/uog.24888 · Cited by 436
ISUOG Practice Guidelines: performance of third‐trimester obstetric ultrasound scan
Khalil, A. A., Sotiriadis, A., D’Antonio, F., Costa, F. D. S., Odibo, A. O., Prefumo, F., Papageorghiou, A. T., & Salomon, L. J. (2024) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.27538 · Cited by 115
Guideline No. 402: Diagnosis and Management of Placenta Previa
Jain, V., Bos, H., & Bujold, E. (2020) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2019.07.019 · Cited by 106
Vasa Previa Diagnosis, Clinical Practice, and Outcomes in Australia
Sullivan, E., Javid, N., Duncombe, G. J., Li, Z., Safi, N., Cincotta, R., Homer, C., Halliday, L. E., & Oyelese, Y. (2017) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000002198 · Cited by 92
Vasa Praevia: Diagnosis and Management: Green‐top Guideline No. 27b
Jauniaux, E., Alfirevic, Z., Bhide, A., Burton, G., Collins, S., Silver, R., & the Royal College of Obstetricians and Gynaecologists (2019) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.15307 · Cited by 88
Metadata
- Authors
- Ruiter, L., Kok, N., Limpens, J., Derks, J., de Graaf, I., Mol, B., & Pajkrt, E.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Vrije Universiteit Amsterdam (NL)
- Department of Obstetrics and Gynaecology University Medical Centre Utrecht the Netherlands
- Department of Obstetrics and Gynaecology Academic Medical Centre Amsterdam Amsterdam the Netherlands
- The Robinson Institute School of Paediatrics and Reproductive Health University of Adelaide Adelaide SA Australia
- Corresponding author
- Ruiter, L
- ORCID
- Venue
- BJOG: An International Journal of Obstetrics & Gynaecology
- Publisher
- Wiley
- Published
- 2015-12-23
- Volume
- 123
- Issue
- 8
- Pages
- 1278-1287
- ISSN
- 0306-5456 (ISSN-L)
- 1470-0328
- 1471-0528
- OpenAlex
- W2203564449
- Cited by
- 141
- References
- 36
- Citations by year
- 2026: 15 · 2025: 6 · 2024: 13 · 2023: 18 · 2022: 14 · 2021: 12 · 2020: 19 · 2019: 16 · 2018: 13 · 2017: 9 · 2016: 4
- FWCI
- 1.32
- Type
- journal article
- Language
- en
- Open access
- green
- pure.amsterdamumc.nl
- Licence
- Locations
- BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Utrecht University Repository (Utrecht University) (submittedVersion)
- Funders
- Academic Medical Centre in Amsterdam
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Surgery › Congenital Anomalies and Fetal Surgery
- Keywords
- vasa previa, incidence, risk factors, placenta previa, assisted reproduction, velamentous cord insertion, umbilical cord insertion, prenatal screening, fetal death
- MeSH terms
- Female, Humans, Placenta, Placenta Previa, Pregnancy, Pregnancy Trimester, First, Pregnancy Trimester, Second, Risk, Umbilical Cord, Odds Ratio, Ultrasonography, Prenatal, Risk Assessment, Reproductive Techniques, Assisted, Vasa Previa
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
