IMR Press / CEOG / Volume 40 / Issue 2 / pii/1630388174786-87616911

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
Placental and umbilical cord macroscopic changes associated with fetal and maternal events in the hypertensive disorders of pregnancy
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1 Nursing School, Goiás Federal University, Goiána, Goiás
2 Oncology Research Institute (Instituto de Pesquisa em Oncologia - IPDN), Federal University of Triângulo Mineiro, Uberada, Minas Gerais
3 Oncology Research Institute (Instituto de Pesquisa em Oncologia - IPDN) Immunology Department, Federal University of Triângulo Mineiro, Uberada, Minas Gerais
4 Oncology Research Institute (Instituto de Pesquisa em Oncologia - IPDN) Obstetrics and Gynecology Deparment, Federal University Triângulo Mineiro, Uberada, Minas Gerais (Brazil)
Clin. Exp. Obstet. Gynecol. 2013, 40(2), 198–202;
Published: 10 June 2013
Abstract

Aim: The purpose of this study was to identify placental and umbilical cord macroscopic changes and correlate them to maternal and fetal clinical events in hypertensive disorders of pregnancy (HDP). Materials and Methods: The authors examined 150 placentas, 30 from each HDP group, totaling 120, and 30 from the control group. All placentas and umbilical cords were examined, recorded, and photographed. Results: The mean placental weight in the control group (526.3 ± 95.6 g) was greater than in the HDP (435.5 ± 43.1 g). Calciphylaxis was the most common macroscopic change found in the control and HDP groups in 27 (90%) and 118 cases (98.3%), respectively. Discussion: Pregnant women with HDP were relatively younger. In addition, due to low blood flow seen in HDP, the macroscopic changes found included lower placental weight, calciphylaxis in the maternal surface, and fibrin in the fetal surface. Because of all complications associated, most women with HDP had preterm infants who developed respiratory problems and had shorter umbilical cords.
Keywords
Hypertensive
Newborn
Placenta
Pregnancy
Umbilical cord
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