If a doctor knew that one had a low-lying placenta AND a bilobed placenta, should he have also known that the patient was a very good candidate for vasa previa?
Unfortunately physicians are often poorly educated about vasa previa; furthermore they often consider the condition to be rare. Therefore, they are often caught totally unaware when vasa previa does occur. The key is in a high index of suspicion. So the message we are trying to get out is that all physicians should be suspicious and look for vasa previa. Even the best sonographer will miss vasa previa if not on the lookout for it. There definitely needs to be more education about ultrasound of the placenta and umbilical cord.
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