Physicians

"Professionals in the medical community would benefit from observing and learning from Dr. Antoine. His position as the undisputed #1 high-risk pregnancy doctor in NYC is for all the right, well-deserved reasons."


-Michael T., Manhattan, NY.

Review from patient husband (and proud father)

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A Credible Source

When it comes to abnormal placentation, placenta accreta, safer cesarean techniques and outcomes as well as many other innovations in obstetrical surgeries and treatments, knowledge sharing is critical.

 

The incidence of placenta previa (PP), abnormal implantation of the placenta and cesarean scar pregnancy have continuously risen over the past 60 years

—all the more noteworthy, considering that PA can occur years after a C-section and is often missed as a related incident. This increase coincides with the well-documented parallel rise in the rate of cesarean deliveries, the performance of multiple repeat cesarean deliveries and the adoption of newer uterine closure techniques.

Dr. Antoine's Technique

Dr. Antoine's Technique

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The Method

Reducing the incidence
of placenta accreta

Cesarean section has been done for centuries, but a little bit over one century ago, the operation was avoided at all costs,  because of the high mortality rate associated with C-sections. It was not until the latter part of the 19th century, in 1882, that a German obstetrician, Dr. Max Sanger, created a technique that helped reduce maternal mortality and infection associated with Cesarean section.  This technique was the most popular method of Cesarean section until the 1970s, when some newer methodologies were developed.

 

After 40 years in practice, Dr. Antoine and colleagues realized that the use of a  new technique could decrease the incidence of placenta accreta by decreasing the incidence of abnormal placentation in subsequent pregnancies. This new method consists of protecting the lining inside of the uterus to keep it within the uterus at the time of the closure of the uterine incision, enabling the lining to be protected and thus diminishing the incidence of scar tissue later on.

 
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Technique Matters

Dr. Antoine's Method

According to Dr. Antoine and his group of researchers, what matters with his uterine closure technique is the appropriate recognition that the lining inside of the uterus, in its own right, be treated as a separate lining and not be incorporated in a mass closure that includes the uterine wall and the lining inside of the uterus.

 

Dr. Antoine's method recommends carefully limiting the lining of the uterus inside the uterus, reducing the ability of the lining to migrate inside the wall of the uterus and preventing the placenta from attaching itself to the inside wall of the uterus, thereby reducing the incidence of placenta accreta.

 

The absence of this technique can result in placenta accreta spectrum, where the placenta is attached to the lining and can grow into it, or may go through the wall of the uterus, making it difficult to be removed at the time of the delivery, requiring a hysterectomy and very often a massive blood transfusion as a lifesaving procedure to prevent maternal death.

For additional information on the preventative closure technique, including high-resolution imagery and video, please