Analysis of placental pathological findings contributing to intrauterine fetal death.
10.5468/kjog.2010.53.7.602
- Author:
Yun Sung JO
1
;
Dong Gyu JANG
;
Gui Se LEE
Author Information
1. Department of Obstetrics and Gynecology, St. Vincent's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea. leegsr@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Fetal death;
Placenta;
Pathology
- MeSH:
Counseling;
Fetal Death;
Incidence;
Placenta;
Pregnancy;
Recurrence;
Retrospective Studies
- From:Korean Journal of Obstetrics and Gynecology
2010;53(7):602-607
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To evaluate placental causes of fetal death intrauterine (IUFD) bases on placental pathologic findings. METHODS: Retrospective review of 123 placental pathological reports of singleton fetal deaths from 20 weeks of gestation to 41 weeks of gestation. RESULTS: The incidences of maternal causes, fetal causes, inflammatory causes, miscellaneous and unremarkable findings were 45.5%, 28.4%, 16.2%, 23.5%, respectively. The incidence of fetal anomaly was 8.9%. Fetal anomalies were deeply related to fetal cause (P=0.000). Intrauterine growth restriction was significantly associated with maternal causes (P=0.038). CONCLUSION: No pathological guideline regarding placental examination of intrauterine fetal death exists. In future studies, a better definition of fetal death causes and associated placental pathological findings might aid clinicians in counseling, assessing the risk of recurrence and even preventing fetal death in subsequent pregnancies.
