The department of Obstetrics and Gynecology, Hôpital Félix Guyon, rue des Topazes, 97400 Saint-Denis, Reunion Island, France. Ph : 0262 90 55 22. Fax : 0262 90 77 30.
This G4P3 patient is referred at 39 weeks for contractions without metrorrhagia. On physical exam a presenting cord is suspected, which prompts the performance of an ultrasound examination that confirms the presenting cord but also demonstrate a velamentous cord insertion with a vasa previa.