<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1029-3043</journal-id>
<journal-title><![CDATA[Medicentro Electrónica]]></journal-title>
<abbrev-journal-title><![CDATA[Medicentro Electrónica]]></abbrev-journal-title>
<issn>1029-3043</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Villa Clara]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1029-30432020000100198</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Rotura de vasa previa en una inserción velamentosa del cordón umbilical]]></article-title>
<article-title xml:lang="en"><![CDATA[Ruptured vasa previa in a velamentous umbilical cord insertion]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez Puñales]]></surname>
<given-names><![CDATA[Sandi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fleites León]]></surname>
<given-names><![CDATA[Aracelys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega Betancourt]]></surname>
<given-names><![CDATA[Nuria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Ginecobstétrico Mariana Grajales  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>1</numero>
<fpage>198</fpage>
<lpage>206</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1029-30432020000100198&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1029-30432020000100198&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1029-30432020000100198&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La rotura de vasa previa es una afección infrecuente que aparece cuando el cordón umbilical tiene una inserción velamentosa y los vasos fetales desprotegidos, que al carecer de la gelatina de Wharton, discurren a través de las membranas, lo que los hace especialmente vulnerables a la rotura o desgarros. Los factores de riesgo más relevantes son: la gestación gemelar monocorial, las gestaciones conseguidas mediante técnicas de reproducción asistida y las anomalías de inserción placentaria. La rotura de la vasa previa puede llevar a: una hemorragia fetal aguda, un choque hipovolémico, una asfixia fetal y a la muerte perinatal. El estudio ecográfico de la placenta y el empleo del Doppler color tienen gran importancia para lograr el diagnóstico precoz de las pacientes en riesgo, el cual constituye la premisa fundamental para lograr disminuir la morbilidad y mortalidad fetal y neonatal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Ruptured vasa previa is an uncommon condition that appears when the umbilical cord has a velamentous insertion and the unprotected fetal vessels, which, in the absence of Wharton's jelly, run through membranes making them especially vulnerable to rupture or tears. The most relevant risk factors are: monochorionic twin pregnancy, pregnancies achieved through assisted reproductive techniques and abnormal placental cord insertion. Ruptured vasa previa can lead to: acute fetal hemorrhage, hypovolemic shock, fetal asphyxia and perinatal death. The ultrasound study of the placenta and the use of color Doppler ultrasound are of great importance to achieve early diagnosis of patients at risk, which is the fundamental premise to achieve lower fetal and neonatal morbidity and mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[vasa previa]]></kwd>
<kwd lng="es"><![CDATA[cordón umbilical]]></kwd>
<kwd lng="en"><![CDATA[vasa previa]]></kwd>
<kwd lng="en"><![CDATA[umbilical cord]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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