Anterior Placenta

General Surgical Considerations

  • Fetal delivery should be fast as there is a theoretical risk of fetal bleeding​
  • A low transverse hysterotomy can theoretically cause fetal bleeding if the placenta is implanted anteriorly, however a classical incision or high transverse can increase maternal bleeding and morbidity in subsequent pregnancies. ​
  • Practically, a lower segment hysterotomy is still performed with the plane found between placenta and uterus, and fetus extracted.​

Clinical Pearl

The most important thing is to deliver the fetus quickly!​  Generally in this situation, delayed cord clamping is not done because the placenta is disrupted.  Also, no delayed cord clamping if an abruption is suspected.

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Updated on February 16, 2022

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