Avoiding an incision through the anterior previa at cesarean delivery

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Abstract
Information is limited regarding the preferred method of delivery when the placenta is underlying the site of the uterine incision. 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. This reproducible technique is offered as an alternative to transecting the underlying placenta at cesarean delivery.