• Yuichi Echigoya, Hiroshi Kawahigashi, Yoshitada Ito, Mio Takase, and Fangqin Yu.
• Department of Anesthesia, Shinnittetsu Muroran General Hospital, Muroran.
• Masui. 2006 Dec 1;55(12):1472-5.

BackgroundThere are few consistent anesthetic guidelines how to manage cesarean section in the presence of placenta previa. Main problem may be hemorrhage, as occasionary unexpected massive bleeding leads to life-threatening hemorrhage.MethodsWe investigated retrospectively, covering the period between April 1, 2001 and September 30, 2005, 30 women with placenta previa who had undergone cesarean section.ResultsComparing general anesthesia with regional anesthesia, there was not a significant difference between the two. Comparing totalis (T) with partial (P) in the classification of placenta previa, infusion and hemorrhage in T group were more pronounced than those in the P group. Regarding these operations performed during the weekend or at night, shortage of supportive anesthesiologist was pointed out.ConclusionsThese results indicate that regional and general anesthesia did not differ in the intraoperative incidence. In all cases at least two anesthesiologists and at least two venous lines are necessary to manage cesarean section in the presence of placenta previa.

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