Abstract

Background: This is a prospective type of study and constitutes the clinicopathological correlation of abnormal placental findings with pregnancy related maternal morbidities and associated foetal outcome in all preterm and full term pregnancies. Placentae from 80 deliveries of preterm and fullterm gestation were collected from labour room of Bundelkhand Medical College, Sagar during the period from June 2017 to June 2018.
 The gross features of placenta varies significantly with period of gestation. Parameters such as weight, size, number of cotyledons and thickness of placenta decreases in preterm labour. The microscopic lesions observed in decreasing order of frequency were perivillous fibrin deposition (62.50%) followed by chorioamnionitis (26.25%), infarct (21.25%) and calcification (17.50%). Other pathological lesions includes villous oedema (12.50%) and retro placental hematoma (2.50%). All the histomorphological changes were conspicuous in preterm pregnancies.
 Keywords: Foetal, Gross, Microscopic & Placental

Highlights

  • The placenta is the most accurate record of infant’s prenatal experiences

  • Background: This is a prospective type of study and constitutes the clinicopathological correlation of abnormal placental findings with pregnancy related maternal morbidities and associated foetal outcome in all preterm and full term pregnancies

  • Placentae from 80 deliveries of preterm and fullterm gestation were collected from labour room of Bundelkhand Medical College, Sagar during the period from June 2017 to June 2018

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Summary

Introduction

The placenta is the most accurate record of infant’s prenatal experiences. Generally physicians are uncomfortable with the task of examining the placenta, but according to Benirschke it is a task they should willingly undertake because submitting this organ to a knowledgeable look and touch can provide much insight into prenatal life. Placenta is essential for maintenance of pregnancy and for promoting normal growth and development of fetus.[2] It is the most accurate record of the infant's prenatal experience.[3] It forms the morphological record of anatomical condition, intrauterine events and intrapartum events of gestation. As placenta is the mirror of maternal and fetal status, it reflects the changes due to maternal hypertension This is a prospective type of study and constitutes the clinicopathological correlation of abnormal placental findings with pregnancy related maternal morbidities and associated foetal outcome in all preterm and full term pregnancies. The gross features of placenta varies significantly with period of gestation. Parameters such as weight, size, number of cotyledons and thickness of placenta decreases in preterm labour.

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