Gross Examination of the Placenta

Woodling, Bruce A.; Kroener, John M.; Puffer, Harold W.; Furukawa, Seikyo; Anderson, Gail; Ochoa, R G; Warner, Nicholas P.

doi:10.1097/00003081-197603000-00004

Cited by 7 publications

(5 citation statements)

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“…19,20 In a study conducted by Hertig and Woodling et al, normal placental weight ranged between 450 and 550 gm. 21,22 Teasdale observed that the placental weights in diabetic mothers are more than the nondiabetic mothers. 23 Boyd et al noted that increased placental growth was the result of a concomitant metabolic or endocrine effect of hyperinsulinemia in diabetes.…”

Section: Discussionmentioning

confidence: 99%

Morphological and Histopathological Features of Placenta in Women with Gestational Diabetes Mellitus and Its Association with Perinatal Outcome

Venkatesh,

Shetty,

Chaithra

2024

Journal of South Asian Federation of Obstetrics and Gynaecology

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Background: Placenta, a unique vascular organ, acts as a barrier between maternal and fetal circulation, protecting the fetus from adverse effects of maternal diseases. Gestational diabetes mellitus (GDM) alters the placental function leading to histological and morphological changes in placenta. Hyperglycemia affects placental development leading to adverse maternal and perinatal outcomes. Aim: To understand the morphological and histopathological variations of the placenta in GDM pregnancies and its association with the perinatal outcome. Materials and methods: A hospital-based cross-sectional study was conducted in women with singleton pregnancy between 37 and 40 weeks of gestation with GDM (Cases) and compared with women without GDM (Control). The morphological and histopathological features of the placenta were studied, and the associated perinatal outcome was analyzed. Results: In cases, most of the women had babies with birth weight of 3.51-4 kg (57.1%) and was statistically significant (p = 0.001). The mean placental weight among cases and controls was 719.57 ± 110. 8 gm and 380.71 ± 50.59 gm, respectively. Placental histopathological changes (calcification of the placenta, fibrinoid necrosis of villi and immature villous) were noted in cases and were statistically significant (p = 0.001). Abnormal perinatal outcomes were observed in cases with an oval-shaped placenta (64.7%), increased cord thickness (68.4%), fibrinoid necrosis of villi (50%), syncytial knots (61.9%), and immature villous (54.5%). Conclusion: Gestational diabetes mellitus causes an alteration in morphological and histological features of the placenta resulting in adverse perinatal outcomes. Early diagnosis, treatment, and glycemic control aid in reducing perinatal morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Morphological and Histopathological Features of Placenta in Women with Gestational Diabetes Mellitus and Its Association with Perinatal Outcome

Venkatesh,

Shetty,

Chaithra

2024

Journal of South Asian Federation of Obstetrics and Gynaecology

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“…Placental infarction is described as an area of necrotic changes; extensive infarction is the hallmark of a severe circulatory compromise in placenta [31] . Woodling et al [32] described "The placental infarct as a consequence of necrosis of maternal cotyledon caused by occlusion of the utero-placental artery those supplies it". V. Paul Wentworth [26] divided infarct into "red infarcts" and "other true infarcts" and also found two similar macroscopic lesions and termed them "perivillous fibrin deposition" and "mottled infarct".…”

Section: Maternal Surface Rough Irregular Consists Of 15-30mentioning

confidence: 99%

“…Cotyledons vary in number. Nesbit [24] was observed as many as 20 cotyledons, while Woodling et al [32] were observed as low as 8 cotyledons in normal placenta. In the present study, mean number of cotyledons in control group was 17.46±1.04, while that in test group was 13±1.9; indicating that number of cotyledons was significantly decreased in anemic mothers.…”

Section: Fig 5: Placental Volumementioning

confidence: 99%

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Morphological Changes of Placenta Associated with Maternal Anaemia

Mondal¹,

Baske²,

Biswas³

2017

IJLSSR

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ABSTRACT-Placenta is the mirror of fetomaternal status. The effect of anemia in pregnancy can be diverse and detrimental to the mother and the fetus. This prompted us to carry out the present study, which aimed to observe and compare the morphological features of placenta at term in anemic and non-anemic mothers of North Bengal and to find out the clinical relevance of such structural changes. Total 30 placentas were collected from each group of selected patients after delivery at labor room. Examination of placenta was conducted according to proforma. A general survey of umbilical cord, membranes, fetal surface, and maternal surface was carried out. The diameters were measured, area was estimated, and shape was noted. Placenta and fetus was weighed in the same scale. The volume was estimated by water displacement method. In anemic mothers, mean baby birth weight was found to be significantly less than that of control group. The mean placental weight in test group was significantly increased in comparison to controls. The mean placental volume and mean placental area in case of test group were significantly increased. Occurrence of morphological features, like subchorionic fibrosis; retroplacental clot, gross calcification, or placental infarction etc were found to be significantly higher in anemic mothers in comparison to non-anemic group. In the present study, it was proved that placenta has considerable functional reserve capacity. It tends to limit the ill-effects of tissue injury and of unfavorable maternal milieu like anemia. Our findings were in accordance with the previous studies in this field.

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“…Although other studies have been published pertaining to pregnancy screening in the Third World, the ethnomedical resource base, ethnomedical identity of indigenous health care providers, and resulting hierarchical resort to health "Nesbitt and Aubry 1969. b Pennington 1973. Triedman 1973. d Woodling et al 1976. e Brazelton 1973.…”

Section: Introductionmentioning

confidence: 99%

Implementation of health screening programs using Ethnomedical resources

Micozzi¹

1985

Medical Anthropology

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Gross Examination of the Placenta

Cited by 7 publications

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Morphological and Histopathological Features of Placenta in Women with Gestational Diabetes Mellitus and Its Association with Perinatal Outcome

Morphological and Histopathological Features of Placenta in Women with Gestational Diabetes Mellitus and Its Association with Perinatal Outcome

Morphological Changes of Placenta Associated with Maternal Anaemia

Implementation of health screening programs using Ethnomedical resources

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