CHSJ

Curr Health Sci J, vol. 35, no. 4, 2009

Morphopathologic Features of Fetal Appendages in Fetal Distress

[Original paper]

I. IVANUS(1), I.E. PLESEA(2), V. GHEORMAN(3), A. ANCUTA(2), C. COTOI(2), F. CORNITESCU(3), N. RICA(3)


(1)Corabia Hospital, Olt County;
(2)Department of Pathology and Cytology, Emergency County Hospital, Craiova;
(3)Department of Obstetrics and Ginecology, Faculty of Medicine, Craiova University of Medicine and Pharmacy


Abstract:

Fetal growth depends on the integrity of fetal appendages. The aim of the study was to reveal the possible correlations between different morphological changes of each of the three fetal appendages (placenta, umbilical cord and amnios) and the presence of one of the two aspects of fetal distress (FD) (acute or chronic). Placental weight and type of fetal appendage pathological process were assessed on 116 patients whose newborns had fetal distress. The results of our analysis allowed us to conclude that umbilical cord pathology was not the main cause of FD as one might think at first sight but placental pathology, which was the main factor in both the intrauterine growth retardation (IUGR) subgroup as placental insufficiency as well as the acute fetal distress (AFD) group as premature detachment of normally inserted placenta (PDNIP). Associations of several pathological processes of fetal appendages were rare, usually leading to the onset of IUGR.


Keywords: Fetal distress, Fetal appendages, Morphology



Corresponding: Prof. Emil Plesea, Pathology Department, Faculty of Medicine, Craiova University of Medicine and Pharmacy, Petru Rares Street 2, Craiova, 200349; Telephone/Fax: 0251 306110; E-mail: pie1956@yahoo.com


DOI 10.12865/CHSJ.35.04.11 - Download PDF
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