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Obstetrics & Gynecology 2003;102:552-554
© 2003 by The American College of Obstetricians and Gynecologists
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CASE REPORTS

Avoiding an Incision Through the Anterior Previa at Cesarean Delivery

Carol R. Ward, MD

Division of Obstetrics and Gynecology, Mercy Hospital, Portland, Maine; Department of Obstetrics and Gynecology, University of Vermont School of Medicine; Dartmouth School of Medicine, Hanover, New Hampshire

Address reprint requests to: Carol R. Ward, MD, 535 Ocean Avenue, Portland, ME 04105; E-mail: cwardmd{at}maine.rr.com.

ABSTRACT

BACKGROUND: Information is limited regarding the preferred method of delivery when the placenta is underlying the site of the uterine incision.

CASES: Three patients with placenta previa illustrate the successful use of a technique that avoids incising the underlying placenta. An iatrogenic partial separation of the placenta is created to rupture the membranes and deliver the infant.

CONCLUSION: This reproducible technique is offered as an alternative to transecting the underlying placenta at cesarean delivery.






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Copyright © 2003 by the American College of Obstetricians and Gynecologists.