Dantzer M, Sloukgi J C, Agnani G, Colette C
Rev Fr Gynecol Obstet. 1986 Dec;81(12):685-91.
The severity of placenta praevia is well known and responsible of a non negligible perinatal mortality. This study relates to 65 children born after a cesarean section for placenta praevia and analyzes the fetal complications, their frequency, their prognosis as well as the obstetrical factors connected to this problem. Mortality is 3%, prematurity remains high and so is the anemia, but hypotrophy is rare. The main complications are infection essentially due to an overlapping placenta praevia, its hemorrhagic nature and the increasing number of hemorrhagic episodes and respiratory complications (respiratory distress, inhalation of amniotic fluid and hyaline membrane disease). From these fetal data, the authors propose a method of management of low placental insertions consisting essentially of bed rest as soon as the diagnosis in made on the sonogram, and extraction at the 35th week of amenorrhea. In case of hemorrhage, extraction must be performed earlier if obstetrical conditions, maternal as well as fetal, do not permit to undertake a conservative approach aimed essentially to decrease prematurity and its consequences.
前置胎盘的严重性众所周知，且导致了不可忽视的围产期死亡率。本研究涉及65例因前置胎盘行剖宫产术后出生的儿童，并分析了胎儿并发症、其发生率、预后以及与此问题相关的产科因素。死亡率为3%，早产率和贫血率仍然很高，但发育迟缓很少见。主要并发症是感染，主要原因是胎盘前置重叠、其出血性质以及出血发作次数增加，还有呼吸并发症（呼吸窘迫、羊水吸入和透明膜病）。根据这些胎儿数据，作者提出了一种处理低胎盘附着的方法，主要包括一旦超声检查确诊就卧床休息，并在闭经35周时进行剖宫产。如果发生出血，在产科情况（包括母体和胎儿情况）不允许采取旨在降低早产率及其后果的保守方法时，必须提前进行剖宫产。
