Placental hypoxic overlap lesions: a clinicoplacental correlation

The Journal of Obstetrics and Gynaecology Research
Jerzy Stanek

Abstract

This retrospective analysis is aimed to study clinical and placental associations of placental acute, chronic, and acute-on-chronic (overlap) hypoxic lesions. Frequencies of 32 clinical (maternal and fetal) and 47 placental (gross and microscopic) phenotypes were compared by the Yates χ(2) with the Holm-Bonferroni correction among consecutive placentas from 2831 ≥ 16-week gestations: 778 placentas with chronic hypoxic lesion(s) (diffuse patterns of hypoxic placental injury, chorangiosis, excessive extravillous trophoblasts, microscopic chorionic pseudocysts, clusters of decidual multinucleate trophoblasts), 481 placentas with acute hypoxic lesion(s) (infarction, intravillous hemorrhage, deep meconium penetration, membrane laminar necrosis), 585 placentas with hypoxic overlap lesion(s) (coexisting at least one lesion from each of the above groups), and 987 placentas without placental hypoxic lesions, adjusted for gestational age. The control group was dominated by premature rupture of membranes, inflammatory pattern of placental injury, and poor prenatal care. The fetal and placental hypoxic patterns were associated not only with increased frequency of clinical hypoxia-associated conditions, but also abnormal umbilical cord coil...Continue Reading

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Citations

May 28, 2016·Archives of Pathology & Laboratory Medicine·Jerzy Stanek
Sep 16, 2017·Journal of Perinatal Medicine·Jerzy Stanek
Apr 3, 2020·Journal of Perinatal Medicine·Sunil JaimanChaur-Dong Hsu
May 30, 2019·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·Jerzy Stanek
Nov 7, 2017·Birth Defects Research·Lais Fajersztajn, Mariana Matera Veras
Oct 12, 2018·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·Jerzy Stanek
Dec 11, 2020·Obstetrics and Gynecology International·Jerzy Stanek
Feb 6, 2021·Placenta·Larissa SeidmannWilfried Roth

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