22nd August 2023

A 37-year-old woman is diagnosed with vasa praevia at 34 weeks gestation

A 37-year-old woman is diagnosed with vasa praevia at 34 weeks gestation. She is admitted to the hospital for monitoring. At 36 weeks, she experiences a rupture of membranes with clear fluid and sudden onset of bright red vaginal bleeding.

What is the most appropriate next step in management?