From 2002 to 2007, 101 camelid abortions and stillbirths were submitted to the Veterinary Diagnostic Laboratory at Oregon State University (84 alpacas [Vicugna pacos], 13 llamas [Lama glama], 4 unknown). For most cases (n ¼ 67), a cause was not determined by routine testing. Eighty-five submissions included placenta for microscopic examination, of which 55 were from abortions to unknown causes (idiopathic). Microscopic features of placentas from abortion/stillbirth were compared with those from 19 camelids delivered normally (6 alpacas, 12 llamas, 1 unknown) and with those from 4 alpaca fetuses of known gestational age collected during the dam's necropsy. The most common microscopic findings in abortion/stillbirth placentas were mineralization (n ¼ 57) and mucinous edema (n ¼ 27) of the chorioallantoic stroma. One or more of these features were also observed in 22 of 23 placentas from normal pregnancies/deliveries and therefore interpreted as incidental findings. The comparison of alpaca placentas after matching for gestational parameters (crown-rump length, weight, days of gestation; n ¼ 41) revealed hypoplasia of placental villi in 5 of 22 idiopathic abortions and in 1 abortion due to umbilical torsion; hypoplasia was further suspected in an additional 6 abortions of unknown cause and 2 abortions of known cause. The identified villous hypoplasia is assumed to have resulted in placental insufficiency. When placental insufficiency is included as cause, idiopathic abortions are reduced from 66.2 to 47.9% of alpaca cases with histopathologic examination of placenta and from 66.3 to 52.5% of alpaca and llama abortions overall. This study also permitted the generation of a linear regression curve correlating alpaca fetal crown-rump length with fetal age.Keywords abortion, alpaca, histopathology, llama, mineralization, mucin, placenta, villous hypoplasia Annual infertility rates of alpacas (Vicugna pacos) and llamas (Lama glama) range from 30 to 50%, with abortions and stillbirths adding approximately 10% to reproductive losses. 37 In most cases, the etiopathogenesis of alpaca and llama abortions remains undetermined. 6,24,37 The large percentage of idiopathic abortions and stillbirths in New World camelids, combined with the void in the current literature on abortions and their causes in these species, presents a problem for attending veterinarians and diagnosticians 20,37,40 and precludes the development of preventative strategies. In cattle, a portion of idiopathic abortions may be due to abnormal genetic, hormonal, metabolic, or developmental factors, which are difficult to identify in routine diagnostic laboratory submissions.4 Placental abnormalities, including placental insufficiency, that may result in fetal distress syndrome and death are commonly diagnosed causes of equine abortions and stillbirths. 13,16,25,35 As in the horse, the placenta of alpacas and llamas is epitheliochorial and diffuse, and the maternofetal interface develops synchronously. 11,28,29 This raises the question to whether microa...