If Vasa praevia is confirmed in the third trimester, deliver by elective Caesarean section between 34 -36 weeks.
Administer antenatal corticosteroids for fetal lung maturity from 32 weeks due to the increased risk of preterm delivery.
Tailor decisions for prophylactic hospitalisation from 30-32 weeks to individual patients, taking into account risk factors such as multiple pregnancy, antenatal bleeding and threatened preterm labour. Outpatient care has been associated with excellent outcomes in asymptomatic women.
Perform an emergency Caesarean section for patients with known Vasa Praevia at viable gestations with SROM and or labour without delay.
If ruptured Vasa Praevia is suspected do not delay delivery while trying to confirm the diagnosis.
Urgent Caesarean section and neonatal resuscitation, including the use of blood transfusion if required, is essential in the management of ruptured vasa praevia diagnosed during labour.
Send the placenta for pathological examination to confirm the diagnosis. This is particularly important where there has been a still birth or where there has been acute fetal compromise during delivery
Offer a post-natal debrief consultation