Obstet Gynecol Sci.  2016 Mar;59(2):103-109. 10.5468/ogs.2016.59.2.103.

Safety of cesarean delivery through placental incision in patients with anterior placenta previa

• Hong DH
• Kim E
• Kyeong KS
• Hong SH
• Jeong EH

• KMID: 2159004
• DOI: http://doi.org/10.5468/ogs.2016.59.2.103

Abstract

OBJECTIVE
To demonstrate the safety of fetal delivery through placental incision in a placenta previa pregnancy.
METHODS
We examined the medical records of 80 women with singleton pregnancy diagnosed with placenta previa who underwent cesarean section between May 2010 and May 2015 at the Department of Obstetrics and Gynecology, Chungbuk National University Hospital. Among the women with placenta previa, those who did not have the placenta in the uterine incision site gave birth via conventional uterine incision, while those with anterior placenta previa or had placenta attached to the uterine incision site gave birth via uterine incision plus placental incision. We compared the postoperative hemoglobin level and duration of hospital stay for the mother and newborn of the two groups.
RESULTS
There was no difference between the placental incision group and non-incision group in terms of preoperative and postoperative hemoglobin change, the amount of blood transfusions required by the mother, newborns with 1-min or 5-min Apgar scores below 7 points or showing signs of acidosis on umbilical cord blood gas analysis result of pH below 7.20. Moreover, neonatal hemoglobin levels did not differ between the two groups.
CONCLUSION
Fetal delivery through placental incision during cesarean section for placenta previa pregnancy does not negatively influence the prognosis of the mother or the newborn, and therefore, is considered a safe surgical technique.

Keyword

Neonatal anemia; Placenta previa; Placental incision

MeSH Terms

Acidosis
Anemia, Neonatal
Blood Transfusion
Cesarean Section
Chungcheongbuk-do
Female
Fetal Blood
Gynecology
Humans
Hydrogen-Ion Concentration
Infant, Newborn
Length of Stay
Medical Records
Mothers
Obstetrics
Parturition
Placenta Previa*
Placenta*
Pregnancy
Prognosis

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