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Kim, Kim, Lim, Choi, Jeong, and Kim: The safety of cesarean delivery through transplacental incision in anterior placenta previa
Original Article
Korean Journal of Obstetrics and Gynecology

Korean Journal of Obstetrics and Gynecology 2010; 53(8): 694-699.

Published online: 19 August 2010

DOI: https://doi.org/10.0000/kjog.2010.53.8.694

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

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

Department of Obstetrics and Gynecology, Chungbuk National University Hospital; Medical Research Institute, Chungbuk National University College of Medicine, Cheongju, Korea.

Corresponding author (jeongmed@chungbuk.ac.kr)

Received 31 May 2010       Accepted 16 July 2010

Copyright © 2010 Korean Society of Obstetrics and Gynecology

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.

Keywords: Anterior placenta previa, Transplacental incision

Figures and Tables

Fig. 1
Distribution of umbilical arterial blood pH according to the placental incision.
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Table 1
Characteristics of total subjects
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Table 2
Comparison of neonatal blood sampling according to the location of placenta
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Table 3
Characteristics of neonatal blood sampling group
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Table 4
One and five minutes Apgar score according to the location of placenta
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