Abstract

The perinatal autopsy/previable feotal examination presents special challenges to general pathologists and trainees, but the presence of foetal structural remnants, changing developmental features, small organ sizes, and potential for encountering complex anomalies may also be daunting to specially trained paediatric pathologists. This workshop will present the highlights of: (1) normal previable and viable fetal development, (2) how to assess gestational age and duration of intrauterine retention following fetal death, (3) differences and similarities between perinatal and adult autopsy examinations, (4) anomalous features of select common syndromes, associations and sequences, and (5) the use of the placenta as a critical supplement for determining cause of death in the stillborn or briefly viable neonate. The tools acquired in this workshop will enable pathologists to approach the perinatal pathological examination with informed confidence and ability to interpret and use reference ranges for foetal/neonatal anthropometry and organ weight. The perinatal autopsy/previable feotal examination presents special challenges to general pathologists and trainees, but the presence of foetal structural remnants, changing developmental features, small organ sizes, and potential for encountering complex anomalies may also be daunting to specially trained paediatric pathologists. This workshop will present the highlights of: (1) normal previable and viable fetal development, (2) how to assess gestational age and duration of intrauterine retention following fetal death, (3) differences and similarities between perinatal and adult autopsy examinations, (4) anomalous features of select common syndromes, associations and sequences, and (5) the use of the placenta as a critical supplement for determining cause of death in the stillborn or briefly viable neonate. The tools acquired in this workshop will enable pathologists to approach the perinatal pathological examination with informed confidence and ability to interpret and use reference ranges for foetal/neonatal anthropometry and organ weight.

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