Carol R Ward1. 1. Division of Obstetrics and Gynecology, Mercy Hospital, Portland, Maine, USA. cwardmd@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. CASE: 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.
BACKGROUND: Information is limited regarding the preferred method of delivery when the placenta is underlying the site of the uterine incision. CASE: 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.