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

Kim, Yong Gu; Kim, Ru Mi; Lim, Ji Hyun; Choi, Jin Young; Jeong, Eun Hwan; Kim, Hak Soon

doi:2010.53.8.694

Obstet Gynecol Sci > Volume 53(8); 2010 > Article

Original Article

Korean Journal of Obstetrics & Gynecology 2010;53(8):694-699.
DOI: https://doi.org/10.5468/kjog.2010.53.8.694 Published online August 1, 2010.

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

Yong Gu Kim, Ru Mi Kim, Ji Hyun Lim, Jin Young Choi, Eun Hwan Jeong, Hak Soon Kim

Department of Obstetrics and Gynecology, Chungbuk National University Hospital; Medical Research Institute, Chungbuk National University College of Medicine, Cheongju, Korea. jeongmed@chungbuk.ac.kr

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.

Key Words: Anterior placenta previa, Transplacental incision