Placental Findings in Postpartum Preeclampsia: A Comparative Retrospective Study
| Autor: | Nina Tatevian, Baha M. Sibai, Agnès Ditisheim |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Postpartum preeclampsia Placenta Diseases Placental Finding Placenta Gestational Age Preeclampsia 03 medical and health sciences Young Adult 0302 clinical medicine Pre-Eclampsia Pregnancy medicine Humans reproductive and urinary physiology Retrospective Studies 030219 obstetrics & reproductive medicine Obstetrics business.industry Postpartum Period Obstetrics and Gynecology Gestational age Retrospective cohort study Placental disease medicine.disease female genital diseases and pregnancy complications Pathophysiology medicine.anatomical_structure 030220 oncology & carcinogenesis embryonic structures Pediatrics Perinatology and Child Health Female Chorionic Villi business |
| Zdroj: | American journal of perinatology. 37(12) |
| ISSN: | 1098-8785 |
| Popis: | Objective Preeclampsia is a multifactorial placental disease that can occur after delivery. The pathophysiology of postpartum preeclampsia remains unknown. The objective was to describe placental findings in postpartum preeclampsia. Study Design This is a case–control study, comparing the placental histologic findings in four groups of 30 patients with postpartum preeclampsia, early-onset preeclampsia, late-onset preeclampsia, and normotensive controls. Results Placentas of postpartum preeclampsia had a mean placental weight not different from that of late-onset preeclampsia at a similar gestational age (479.0 ± 152.7 vs. 521.3 ± 144.1 g, p = 0.07); they showed a higher rate of acute deciduitis of 42.4% than early preeclampsia (5.7%, p Conclusion There were no significant differences for decidual arteriolopathy and villous infarcts among postpartum preeclampsia, late-onset preeclampsia, and the controls. This suggests that postpartum preeclampsia is more of a maternal disease in which the placenta may act as a priming effect in predisposed mothers and becomes clinically apparent after delivery. |
| Databáze: | OpenAIRE |
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