Clinical significance of placental examination in perinatal medicine.
Complete pathologic evaluation of the placenta provides valuable information for perinatal care for the obstetrician, neonatologist, pediatrician, and family. The histopathology of the placenta can answer specific questions about in utero insults, give insight into management of subsequent pregnancies, and provide an assessment of the newborn risk. Placental pathology has been a key litigious informant in inferring timing of insults. Despite these well known advantages of placental pathologic examination, it remains an under-utilized part of perinatal medicine. This stems from a historically under-taught part of surgical and autopsy pathology resulting in inadequate reporting. This review will focus on the utility of the placental examination for fetal and maternal well-being. This review will be restricted to singleton births.
Roberts
Drucilla J
DJ
Department of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. djroberts@partners.org
Oliva
Esther
E
D005260:Female; D005315:Fetal Diseases / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000473:pathology; D008429:Maternal Welfare; D009362:Neoplasm Metastasis / Q000473:pathology; D018743:Perinatal Care; D010920:Placenta / Q000473:pathology*; D010922:Placenta Diseases / Q000473:pathology; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology; D012307:Risk Factors; D014470:Umbilical Cord / Q000473:pathology