Evidence map›Paper›PMID 39941678›Full record

ReviewJournal of clinical medicine2025

Vasa Previa: Prenatal Diagnosis and the Rationale Behind Using a 5 cm Distance from Internal Os.

Claudio V Schenone, Faezeh Aghajani, Ali Javinani, Eyal Krispin, Yinka Oyelese, Ramesha Papanna, Ramen H Chmait, Alireza A Shamshirsaz

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Revisiting vasa previa risk thresholds: integrating non-Euclidean geometry for precision in screening.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Claudio V SchenoneFetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, MA 02215, USA.ORCID 0000-0002-6318-9854
Faezeh AghajaniFetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, MA 02215, USA.ORCID 0000-0002-9019-3904
Ali JavinaniFetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, MA 02215, USA.
Eyal KrispinFetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, MA 02215, USA.
Yinka OyeleseFetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, MA 02215, USA.
Ramesha PapannaDepartment of Obstetrics, Gynecology and Reproductive Sciences, Division of Fetal Intervention, UTHealth McGovern Medical School, Houston, TX 77030, USA.ORCID 0000-0002-3801-346X
Ramen H ChmaitDepartment of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90027, USA.
Alireza A ShamshirsazFetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, MA 02215, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In pregnancies with vasa previa, prenatal diagnosis and pre-labor cesarean delivery are associated with significantly improved perinatal outcomes compared to undetected cases. However, a universally accepted ultrasonographic definition of vasa previa is lacking. Specifically, the distance from the cervical internal os beyond which vaginal delivery can be safely recommended remains to be determined. Field experts and recently published societal guidelines agree that a 2 cm cut-off is suboptimal, given that complete cervical dilation during labor risks unprotected fetal vessels within a 5 cm radius from the internal os. Thus, in the setting of a scarcity of evidence and case reports of perinatal death with unprotected fetal vessels beyond 2 cm from the internal os, a more conservative definition that includes unprotected fetal vessels located within 5 cm of the internal os is imperative to improve outcomes.

Indexed as

distance from internal osprenatal diagnosisvasa previa

Identifiers

PMID39941678
PMCPMC11818259

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.