Abstract
The aim of present study was to investigate the association of placental pathological findings with infantile neurodevelopment during the early 40 months of life. 258 singleton infants were enrolled in the Hamamatsu Birth Cohort for Mothers and Children (HBC Study) whose placentas were saved in our pathological division. To assess the infantile neurodevelopment, we used Mullen Scales of Early Learning (gross motor, visual reception, fine motor, receptive language, expressive language) at 10, 14, 18, 24, 32, and 40 months. For obtaining placental blocks, we carried out random sampling and assessed eleven pathological findings using mixed modeling identified ‘Accelerated villous maturation’, ‘Maternal vascular malperfusion’, and ‘Delayed villous maturation’ as significant predictors of the relatively lower MSEL composite scores in the neurodevelopmental milestones by Mullen Scales of Early Learning. On the other hand, ‘Avascular villi’, ‘Thrombosis or Intramural fibrin deposition’, ‘Fetal vascular malperfusion’, and ‘Fetal inflammatory response’ were significant predictors of the relatively higher MSEL composite scores in the neurodevelopmental milestones by Mullen Scales of Early Learning. In conclusion, the present study is the first to report that some placental pathological findings are bidirectionally associated with the progression of infantile neurodevelopment during 10–40 months of age.
Highlights
The aim of present study was to investigate the association of placental pathological findings with infantile neurodevelopment during the early 40 months of life. 258 singleton infants were enrolled in the Hamamatsu Birth Cohort for Mothers and Children (HBC Study) whose placentas were saved in our pathological division
A mixed model analysis adjusted for potential confounders revealed that Mullen Scales of Early Learning (MSEL) composite scores were significantly lower in infants with positive placental pathological findings of ‘Accelerated villous maturation’, ‘Maternal vascular malperfusion’, and ‘Delayed villous maturation’ than in those with negative placental pathological findings (Table 3, Fig. 2)
The present results demonstrated that some pathological findings of the placenta were connected to the achievement of the milestones of infantile neurodevelopment, in a bidirectional manner; i.e. relatively delayed and lower and higher MSEL composite scores (Table 3, Figs. 2, 3)
Summary
A mixed model analysis adjusted for potential confounders revealed that MSEL composite scores were significantly lower in infants with positive placental pathological findings of ‘Accelerated villous maturation’, ‘Maternal vascular malperfusion’, and ‘Delayed villous maturation’ than in those with negative placental pathological findings (Table 3, Fig. 2). A mixed model analysis adjusted for potential confounders showed that MSEL composite scores were significantly higher in infants with positive placental pathological findings of ‘Thrombosis or Intramural fibrin deposition’, ‘Avascular villi’, ‘Fetal vascular malperfusion’, and Fetal inflammatory response’ than in those with negative placental pathological findings (Table 3, Fig. 3). ‘Thrombosis or Intramural fibrin deposition’, ‘Avascular villi’, ‘Fetal inflammatory response’, and ‘Fetal vascular malperfusion’ were identified as significant predictors of the relatively higher MSEL composite scores in the infantile neurodevelopmental milestones during 10 to 40 months of age. A mixed model analysis adjusted for potential confounders revealed that MSEL composite scores were similar in infants with positive placental pathological findings of ‘Decidual arteriopathy’, ‘Maternal inflammatory response’, ‘VUE’, and ‘Deciduitis’ and in those with negative placental pathological findings (Table 3)
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