Curr Health Sci J, vol. 46, no. 1, 2020

Clinical and Morphological Study of Single and Twin Pregnancies Placenta

[Original paper]

N.L. VOICU(1,2), S. BERCEANU(1), S. PAITICI(3), G.C. ROSU(4,5), L. IOVAN(1,4,5), C. BERCEANU(1), R.E. BOHILTEA(6), A.M. ISTRATE-OFITERU(1,4,5)


(1)Department of Obstetrics and gynecology, University of Medicine and Pharmacy of Craiova, Romania ,
(2)PhD Student, Department of Obstetrics and gynecology, University of Medicine and Pharmacy of Craiova, Romania,
(3)IIIrd General Surgery Clinic, Emergency County Hospital, Craiova, Romania; Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania,
(4)Research Center for Microscopic Morphology and Immunology, University of Medicine and Pharmacy,
(5)Department of Histology, University of Medicine and Pharmacy of Craiova, Romania,
(6)Department of Obstetrics and gynecology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania


Abstract:

Placental morphology is very important in both single and multiple pregnancies. It can dictate certain aspects such as: fibrin depositions, calcifications, infarctions, type of vascularization, which can be directly related to placental weight and implicitly to foetal weight, both in single and twin pregnancy. Our study highlighted the macroscopic morphological aspects and through the classical and immunohistochemical colours the microscopic placental morphological aspects, both in single and in dichorionic diamniotic twin pregnancy and showed that the placenta of the foetuses from the twin pregnancy has a higher vascular density compared to the single pregnancy, and the areas of placental fusion are poor in blood vessels, but rich in fibrin depositions, calcifications and placental infarctions. We also pointed out that maternal weight can increase with age, foetal weight can be directly proportional to maternal weight, as well as placental weight is directly proportional to foetal weight and implicitly to maternal weight, but in terms of vascularization, we observed that there is an inversely proportional connection between placental, foetal weight and vascular density.


Keywords:
Placenta, vascularization, fibrin depositions, calcifications



Corresponding:
Costin Berceanu, Department of Obstetrics and gynecology, University of Medicine and Pharmacy of Craiova, Emergency County Hospital of Craiova, 2 Petru Rares Street, 200349 Craiova, Dolj County, Romania, e-mail: dr_berceanu@yahoo.com


DOI 10.12865/CHSJ.46.01.07 - Download PDF