The impact of ultrasonographic placental architecture on antenatal course, labor and delivery in a low-risk primigravid population.

Hdl Handle:
http://hdl.handle.net/10147/135570
Title:
The impact of ultrasonographic placental architecture on antenatal course, labor and delivery in a low-risk primigravid population.
Authors:
Cooley, Sharon M; Donnelly, Jennifer C; Walsh, Thomas; McMahon, Corrina; Gillan, John; Geary, Michael P
Affiliation:
Department of Obstetrics and Gynaecology, Rotunda Hospital, Dublin 1, Ireland. smcooley@hotmail.com
Citation:
The impact of ultrasonographic placental architecture on antenatal course, labor and delivery in a low-risk primigravid population. 2011, 24 (3):493-7 J. Matern. Fetal. Neonatal. Med.
Journal:
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Issue Date:
Mar-2011
URI:
http://hdl.handle.net/10147/135570
DOI:
10.3109/14767058.2010.497877
PubMed ID:
20608801
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/20608801
Abstract:
To ascertain the impact of placental architecture on antenatal course and labor delivery in a low-risk primigravid population.; This study involves prospective recruitment of 1011 low-risk primigravids with placental ultrasound at 22?24 weeks and 36 weeks. Detailed postnatal review of all mothers and infants was undertaken. Retrospective analysis of ultrasound and clinical outcome data was performed.; Eight hundred ten women with complete outcome data were available. Anterior placentation was statistically associated with intrauterine growth restriction (IUGR) and preterm birth and fundal placentation was significantly associated with a higher incidence of pregnancy-induced hypertension and infants with a birthweight less than the 9th centile. Placental infarcts in the third trimester was significantly increased in cases complicated by pre-eclampsia (PET) and in cases with fetal acidosis. Placental calcification was associated a 40-fold increase in the incidence of IUGR. Placental lakes in the second trimester were more prevalent in patients with threatened miscarriage. Increased placental thickness was associated with a higher rate of fetal acidosis. The Grannum grade of the placenta was higher with threatened first or second trimester loss, PET and in infants born less than 9th centile for gestation.; Placental site and architecture impact on the incidence of maternal and fetal disease.
Item Type:
Article
Language:
en
MeSH:
Adolescent; Adult; Delivery, Obstetric; Female; Fetal Growth Retardation; Gravidity; Humans; Labor, Obstetric; Placenta; Population; Pre-Eclampsia; Pregnancy; Pregnancy Outcome; Retrospective Studies; Risk Factors; Ultrasonography, Prenatal; Young Adult
ISSN:
1476-4954

Full metadata record

DC FieldValue Language
dc.contributor.authorCooley, Sharon Men
dc.contributor.authorDonnelly, Jennifer Cen
dc.contributor.authorWalsh, Thomasen
dc.contributor.authorMcMahon, Corrinaen
dc.contributor.authorGillan, Johnen
dc.contributor.authorGeary, Michael Pen
dc.date.accessioned2011-07-07T13:42:41Z-
dc.date.available2011-07-07T13:42:41Z-
dc.date.issued2011-03-
dc.identifier.citationThe impact of ultrasonographic placental architecture on antenatal course, labor and delivery in a low-risk primigravid population. 2011, 24 (3):493-7 J. Matern. Fetal. Neonatal. Med.en
dc.identifier.issn1476-4954-
dc.identifier.pmid20608801-
dc.identifier.doi10.3109/14767058.2010.497877-
dc.identifier.urihttp://hdl.handle.net/10147/135570-
dc.description.abstractTo ascertain the impact of placental architecture on antenatal course and labor delivery in a low-risk primigravid population.-
dc.description.abstractThis study involves prospective recruitment of 1011 low-risk primigravids with placental ultrasound at 22?24 weeks and 36 weeks. Detailed postnatal review of all mothers and infants was undertaken. Retrospective analysis of ultrasound and clinical outcome data was performed.-
dc.description.abstractEight hundred ten women with complete outcome data were available. Anterior placentation was statistically associated with intrauterine growth restriction (IUGR) and preterm birth and fundal placentation was significantly associated with a higher incidence of pregnancy-induced hypertension and infants with a birthweight less than the 9th centile. Placental infarcts in the third trimester was significantly increased in cases complicated by pre-eclampsia (PET) and in cases with fetal acidosis. Placental calcification was associated a 40-fold increase in the incidence of IUGR. Placental lakes in the second trimester were more prevalent in patients with threatened miscarriage. Increased placental thickness was associated with a higher rate of fetal acidosis. The Grannum grade of the placenta was higher with threatened first or second trimester loss, PET and in infants born less than 9th centile for gestation.-
dc.description.abstractPlacental site and architecture impact on the incidence of maternal and fetal disease.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/20608801en
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshDelivery, Obstetric-
dc.subject.meshFemale-
dc.subject.meshFetal Growth Retardation-
dc.subject.meshGravidity-
dc.subject.meshHumans-
dc.subject.meshLabor, Obstetric-
dc.subject.meshPlacenta-
dc.subject.meshPopulation-
dc.subject.meshPre-Eclampsia-
dc.subject.meshPregnancy-
dc.subject.meshPregnancy Outcome-
dc.subject.meshRetrospective Studies-
dc.subject.meshRisk Factors-
dc.subject.meshUltrasonography, Prenatal-
dc.subject.meshYoung Adult-
dc.titleThe impact of ultrasonographic placental architecture on antenatal course, labor and delivery in a low-risk primigravid population.en
dc.typeArticleen
dc.contributor.departmentDepartment of Obstetrics and Gynaecology, Rotunda Hospital, Dublin 1, Ireland. smcooley@hotmail.comen
dc.identifier.journalThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetriciansen
dc.description.provinceLeinster-
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