Avoiding an incision through the anterior previa at cesarean delivery.
BACKGROUND
Information is limited regarding the preferred method of delivery when the placenta is underlying the site of the uterine incision.


METHODS
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.


CONCLUSIONS
This reproducible technique is offered as an alternative to transecting the underlying placenta at cesarean delivery.
Ward
Carol R
CR
Division of Obstetrics and Gynecology, Mercy Hospital, Portland, Maine, USA. cwardmd@maine.rr.com
D000328:Adult; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D007902:Length of Stay; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010149:Postoperative Pain / Q000175:diagnosis; D010923:Placenta Previa / Q000000981:diagnostic imaging* / Q000601:surgery*; D011247:Pregnancy; D018566:Pregnancy, High-Risk; D012494:Sampling Studies; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal