Written by
Dr Himani Gupta
Consulting Gynecologist in Kharghar, Navi Mumbai
Every
parent and every Obstetrician strive for a normal pregnancy and normal
delivery. Let’s understand a few concepts
What
is good perinatal outcome
-Delivery
of a healthy baby at term is considered a good perinatal outcome.
-Associated
conditions are
1) Good
condition/morphology of placenta-both macroscopic and microscopic structure of
placenta is normal
2) Normal
liquor around fetus/baby
3) Normal
weight of baby at birth
Adverse
perinatal event
If any of
the above criteria are not met, this kind of pregnancy outcome can be termed as
adverse perinatal event
-In these
cases a thorough macroscopic & microscopic analysis of the placenta becomes
necessary.
-By
analyzing placenta, chances of determining the cause of adverse perinatal
outcome increase.
There
are some indications in which placental examination is essential.
The
categories are
FETAL
1)
Stillbirth (Birth of a dead newborn)
Whether
demise happened before starting of labour or during labor.
2)
Prematurity- If baby is born at or 30 weeks of gestation.
3) Low
birth weight of baby-also known as fetal growth restriction-birth weight is
less than 3rd centile
4) Fetal
Hydrops-There is generalized accumulation of fluid in fetal body. Fetal hydrops
is associated with many fetal medical and surgical conditions.
MATERNAL
1) If
mother has fever >38 degree C
2) Miscarriage
at late weeks of gestations
There
are other indications in which placenta examination is optional
The
categories are-
FETAL
1) Prematurity-
If baby is born between 30 weeks to 36.6 weeks of gestation.
2) Fetal
congenital malformation
3) Rh
isoimmunization-If mother’s blood group is Rh negative & father’s blood
group is Rh positive. In this case, mother’s blood may be carrying some
antibodies which are detrimental to fetal health.
4) Twins or
other multiple pregnancies
MATERNAL
1) Gestational
diabetes
2) Maternal
group B streptococcus
3) Pre-eclampsia
/ maternal essential hypertension-in both these conditions mother’s blood
pressure rises & gives rise to complications in baby & perinatal
outcome.
4) Maternal
coagulopathy-if mother’s blood has faulty clotting mechanism.
PLACENTAL
(CORD)
1) Abnormal
placental shape
2) Prolonged
rupture of the membranes (more than 36 hours)
3) 2 vessel
cord (In normal umbilical cord, there are 3 vessels-2 umbilical arteries &
1 umbilical vein)
4) Morbidly
adherent placenta -after delivery of baby also, the placenta is not getting
delivered as it is abnormally stuck to the uterine wall & is not getting
separated.
5) Placental
abruption-placenta gets separated from wall of uterus prematurely even before
birth of baby, leading to compromise of oxygen supply to fetus.
Collection
process of placenta
-The entire
placenta with umbilical cord is collected in a tight-fitting lid container
filled with 10% formalin solution.
Reporting
format of placental examination
The report
consists of two parts
1) Gross
macroscopic examination-in which placenta’s weight, basal area, umbilical
cord length, placental blood vessels, membranes & surfaces are described in
detail
2)
Microscopic Examination-Cellular structure is described in detail.
Reporting
time is 7 days
Benefits
of placental examination
1) Identification
of placental abnormalities associated with under perfusion with blood of
maternal or fetal side of placenta.
2)
Identification of infection
3)
Identification of blood clotting abnormalities
This
information guides the Obstetrician about management of future pregnancies
Labs
accredited for performing this test-LifeCell Diagnostics
Contact
details-Toll Free Number- 1800-266-5533/SMS ‘DIAGNOSTICS’ to 53456
STAY SAFE
By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-
Mother ‘n’ Care Clinic &
My Gynaec World
Address: -
Row House, F- 44/32
First Floor, Near Shivaji Chowk
Sector -12, Kharghar, Navi Mumbai, Maharashtra-Pin 410210
Phone
+91-7506027299
My Gynaec World
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BOTH MOTHER AND BABY ARE SAFE WITH US
STAY SAFE
By Dr Himani Gupta Gynaecologist & Obstetrician Director- Mother ‘n’ Care Clinic & My Gynaec World Address: - Row House, F- 44/32 First Floor, Near Shivaji Chowk Sector -12, Kharghar, Navi Mumbai, Maharashtra-Pin 410210 Phone +91-7506027299 My Gynaec World Online enterprise | Since 2015 Website| https://www.mygynaecworld.com /| Videos| Write-ups| Presentations| Testimonials| Gallery |FAQ’s YouTube| https://www.youtube.com/channel/UCufp... | 1 Million+ views| 80+ videos Blog 1 |https://abortionbypillsinkharghar.blo... / | Blog 2 | https://gynaecologistinkharghar.blogs... | Facebook| https://www.facebook.com/groups/17163... | 300+ members Twitter| https://twitter.com/mygynaecworld |Day to day activity Instagram| https://www.instagram.com/dr_himani_g... / https://www.instagram.com/mygynaecworld/ |All that is fun Linkedin| https://www.linkedin.com/in/dr-himani... /| Professional front Practo| Articles https://www.practo.com/navi-mumbai/do... Practo | FAQ | https://www.practo.com/navi-mumbai/do...
Safe Normal Delivery & Caesarean-Excellent Pregnancy Care
Reviewed by Dr Himani Gupta,Gynecologist,Kharghar,Navi Mumbai
on
07:33
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