Safety of cesarean delivery through placental incision in patients with anterior placenta previa
| Autor: | Seung Hwa Hong, Deok Ho Hong, Kyu Sang Kyeong, Eun Hwan Jeong, Eugene Kim |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Neonatal anemia Placenta previa Umbilical cord Maternal-Fetal Medicine 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology Placenta medicine reproductive and urinary physiology Placental incision Acidosis Fetus 030219 obstetrics & reproductive medicine Obstetrics business.industry Medical record Obstetrics and Gynecology medicine.disease medicine.anatomical_structure Incision Site 030220 oncology & carcinogenesis embryonic structures Original Article medicine.symptom business |
| Zdroj: | Obstetrics & Gynecology Science |
| ISSN: | 2287-8580 2287-8572 |
| DOI: | 10.5468/ogs.2016.59.2.103 |
| Popis: | Objective To demonstrate the safety of fetal delivery through placental incision in a placenta previa pregnancy. Methods We examined the medical records of 80 women with singleton pregnancy diagnosed with placenta previa who underwent cesarean section between May 2010 and May 2015 at the Department of Obstetrics and Gynecology, Chungbuk National University Hospital. Among the women with placenta previa, those who did not have the placenta in the uterine incision site gave birth via conventional uterine incision, while those with anterior placenta previa or had placenta attached to the uterine incision site gave birth via uterine incision plus placental incision. We compared the postoperative hemoglobin level and duration of hospital stay for the mother and newborn of the two groups. Results There was no difference between the placental incision group and non-incision group in terms of preoperative and postoperative hemoglobin change, the amount of blood transfusions required by the mother, newborns with 1-min or 5-min Apgar scores below 7 points or showing signs of acidosis on umbilical cord blood gas analysis result of pH below 7.20. Moreover, neonatal hemoglobin levels did not differ between the two groups. Conclusion Fetal delivery through placental incision during cesarean section for placenta previa pregnancy does not negatively influence the prognosis of the mother or the newborn, and therefore, is considered a safe surgical technique. |
| Databáze: | OpenAIRE |
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