Korean J Obstet Gynecol.  2010 Aug;53(8):694-699. 10.5468/kjog.2010.53.8.694.

The safety of cesarean delivery through transplacental incision in anterior placenta previa

• Kim YG
• Kim RM
• Lim JH
• Choi JY
• Jeong EH
• Kim HS

• KMID: 2273986
• DOI: http://doi.org/10.5468/kjog.2010.53.8.694

Abstract

OBJECTIVE
This study was to evaluate the safety of cesarean delivery through transplacental incision in anterior placenta previa and its effect on mother and neonate.
METHODS
We examined 74 cases of placenta previa retrospectively who underwent cesarean section from May 2006 to December 2009, in Chungbuk National University Hospital. They were divided into two groups according to the placental incision. Transplacental incision was made in all cases of anterior placenta previa. We compared postoperative maternal hemoglobin change, neonatal hemoglobin and hematocrit, intra and/or postoperative transfusion volume, neonatal intensive care unit (NICU) admission days between the two groups.
RESULTS
There were no differences in maternal characteristics, hemoglobin changes, transfusion volume between the two groups. Nor the neonatal hemoglobin and hematocrit level, Apgar score and admission days were different. There was no neonatal acidosis below pH 7.20.
CONCLUSION
The cesarean delivery through transplacental incision in anterior placenta previa seems to be safe because it did not increase maternal and fetal blood loss nor NICU admission days.

Keyword

Anterior placenta previa; Transplacental incision

MeSH Terms

Acidosis
Apgar Score
Cesarean Section
Female
Fetal Blood
Hematocrit
Hemoglobins
Humans
Hydrogen-Ion Concentration
Infant, Newborn
Intensive Care, Neonatal
Mothers
Placenta
Placenta Previa
Pregnancy
Retrospective Studies
Hemoglobins

Figure

• 

  Fig. 1 Distribution of umbilical arterial blood pH according to the placental incision.

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