Abstract

Despite an increased utilization of abdominal delivery, prolonged expectant management, extended hospitalization, and newer methods of diagnosis, the fetal salvage in placenta previa has not appreciably improved in the past 20 years. In one institution the uncorrected fetal mortality was 24.9 per cent (213 infants) in the years 1948–1953 and 24.7 percent (267 infants) in the years 1962–1966. Expectant therapy can be suitably applied to less than half the cases, with the expectation of a lower perinatal mortality. Nevertheless, the mortality remains inordinately high even in the best of circumstances. The only available, practical method of preventing placenta previa is to limit childbearing. The best hope for improving fetal salvage would require the type of intensive care currently not available for most maternity patients.

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