To All IVPF Members, From Yinka Oyelese, MD
Dear members of the IVPF:
I am writing you about our ongoing project, which hopefully will yield what
promises to be the most important paper ever written about vasa previa. Our
intention is to have this published in the most prestigious ObGyn journal.
You have been affected by vasa previa. I am sure you understand, better than
any one else, the devastating impact of the loss of a much awaited and
beloved otherwise healthy child to vasa previa. Our goal is to prevent more
babies being lost to this terrible but preventable complication of pregnancy.
This can only be achieved by educating doctors of the different ways the
condition presents, of associated risk factors, diagnostic modalities,
treatment and outcomes. In 2001, Dr Wesley Lee published a report of the
largest number of cases (18) of vasa previa to be reported to date. With
your help, our study will include the information from close to 100 women.
We will certainly be able to call the world's attention to this devastating
yet preventable tragedy.
However, to achieve this goal, we need your help urgently. We need access to
your medical records, including your clinical history, sonogram reports,
photographs, and pathology and postmortem reports as applicable. We cannot
use your information unless we have your records, and your permission to use
them. Our report must withstand the most rigorous scientific scrutiny. We
need medical proof of your vasa previa by way of a letter from your doctor,
hospital discharge papers, pathology reports of the placenta and/ or
If you have not already done so, please respond via email to the questionnaire that follows and send your records directly to Victoria Goldstein at:
1498 SW 1st Street
Boca Raton, FL 33486
Should you have any questions, I would be most happy to answer them
We are counting on you to help us reduce the incidence of these preventable
Thank you again for all of your help.
With very best wishes
Yinka Oyelese, MD
Georgetown University Hospital
Dept. of Obstetrics and Gynecology
1- What was your age at time of your VP/VI pregnancy?
2- Was this your first pregnancy? If not, how many other pregnancies have you had before your vp pregnancy? Were these vaginal or cesarean deliveries?
3- Were you diagnosed with a low lying placenta or another placental abnormality at any time during your pregnancy? If so, did it correct itself?
4- Did you bleed at any time during your pregnancy? When?
5- Did you undergo IVF?
6- Were you hospitalized during your pregnancy?
7- Did you have pelvic pain during the pregnancy?
8- How was your vp diagnosed?
b. Was a test for fetal blood performed?
If so, which test: (Ogita/Kleihauer, APT)
9- Did your baby survive?
a. What were the Apgars?
b. Was there a neonatal transfusion?
10- Was your delivery vaginal or cesarean?
11- Was amniocentesis performed for lung maturity prior to delivery?
12- Were steroids given?
13- What was the gestational age at delivery?
14- Reason for delivery:
Abnormal fetal heart tracing
15- Are you a smoker?
a. Velamentous insertion
b. Bilobed placenta
c. Multilobed placenta
d. Ruptured vessels
17- Do you have pictures of the placenta?
Can you send them on-line or mail a copy of them along with your records to Victoria Goldstein?