Unless someone actually palpates or visualizes vessels presenting then you could never make the diagnosis and I’m  sure, in the many I have seen post birth,  by the proximity of the vessels to the hole in the membranes that many of the vessels were actually presenting in front of the babies head. Just because vessels are presenting does not guarantee that they will rupture (that is with the Gods!),  as someone else has noted as well, in many instances the membranes have torn along side the vessel as opposed to through it.

 

Cheers,

Kate

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