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Am J Perinatol 2004; 21(6): 325-328
DOI: 10.1055/s-2004-831882
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Placental Findings in Low-Risk, Singleton, Term Pregnancies after Uncomplicated Deliveries

Gary Ventolini1 , Ralph Samlowski2 , Dan L. Hood3
  • 1Department of Obstetrics and Gynecology, Wright State University, Dayton, Ohio
  • 2Department of Family Medicine, University of Alabama at Birmingham, Huntsville Campus, Birmingham, Alabama
  • 3Clinical and Pathology Laboratories, Miami Valley Hospital, Dayton, Ohio
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Publication History

Publication Date:
16 August 2004 (online)

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Should all placentas be sent to pathology for examination after delivery room triage? A cohort of 88 placentas was prospectively obtained and examined from low-risk, singleton, term pregnancies after uneventful delivery. All patients had a normal prenatal testing and anatomy ultrasound. Fifty-one placentas (58%) were normal. Thirty-seven of the placental cohort (42%) had abnormal findings. Thirteen of the abnormal placentas (35.1%) showed pathology unassociated with fetal compromise. Twenty-four of the placentas (27.3% of the total cohort and 64.9% of the abnormal placentas) showed findings associated with fetal compromise. The most common pathologies were marginal cord insertion, chorioamnionitis, and abruption. Routine placental examination is not indicated, according to our data, in low-risk, singleton, and term pregnancy unless the placenta is determined to be abnormal at delivery examination.

KEYWORDS

Low-risk pregnancies - placental findings - placental pathology

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Gary VentoliniM.D. 

Department of Obstetrics and Gynecology, Wright State University

128 E. Apple Street, CHE 3800

Dayton, OH 45409-2793