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MEDICALPRACTICE


VasaPreviaDiagnosisandManagementAndreFLijoiMDandJoannaBradyMDVasapreviaisanuncommonobstetricalcomplicationthatposesahighriskoffetalde-miseifnotrecognizedbeforeruptureofmembranesItisvitalthatprovidersr

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1 MEDICALPRACTICE VasaPreviaDiagnosisandMa
MEDICALPRACTICE VasaPreviaDiagnosisandManagementAndreF.Lijoi,MD,andJoannaBrady,MD Vasapreviaisanuncommonobstetricalcomplicationthatposesahighriskoffetalde-miseifnotrecognizedbeforeruptureofmembranes.Itisvitalthatprovidersrecognizeriskfactorsforvasapreviaanddiagnosethisconditionbeforetheonsetoflaborsothatfetalshockordemiseispre-          .  (($ #'',  7     +  (B !- (B !(+       8C (7(B !- (D -  +  E (&''&.F .(B !(+&=0'$ +$0,        )                ,'!          E  (        (  00 E  A 7   -    2  (          E *  (   (      3 &  (  2' ='G   &D              /     &#  (  $(= "   #G2& $   (   D                D     &,, �,      (#          (       D          # * "          D )     D  -=#0   &#x-34; .10;'#D    '#'=- ( *    (   &'9E?          & &#=$ & D      +           @      - (                              

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            (  )   (    Figure1.FetalheartratetracingfromthepatientdescribedwhichshowstherapiddevelopmentoffetalbradycardiaafterAROMandsubsequentvaginalbleeding.   H7  #'', &2 2         )    !  D         (   ''0% 9 E  + . ()    02('''    &=%  9    (       @ #D     !   D!                 "      9      (/   /   @#       /   &5=,         D1 /!((                       I (                                (                 F      @                          @      A 7      #2! E          A 7  @             @    74     ,0      @          E  A 7  @   D             A 7 / 4 &55& 7  &#x-536;&#x.300;&55(8     &#x-536;&#x.300;5,(=0           6   @             D  &$2!D     #    6       D &#x-536;&#x.300;&

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