Fetal placental thrombosis and neonatal implications.
We present the neonatal complications of two premature newborn infants whose placentas demonstrated placental thrombosis in the fetal circulation. Both mothers presented with a 3-day history of decreased fetal movements before delivery. The first infant presented with thrombocytopenia and disseminated intravascular coagulation. The second infant had extended bilateral extended hemorrhagic venous infarctions. Severe fetal placental vascular lesions seem to be a predisposing factor for some adverse neonatal outcomes. We present these two cases with a brief review of the literature.
Wintermark
Pia
P
Division of Newborn Medicine, Children's Hospital Boston, Boston, Massachusetts 02115, USA. Pia.Wintermark@bluemail.ch
Boyd
Theonia
T
Parast
Mana M
MM
Van Marter
Linda J
LJ
Warfield
Simon K
SK
Robertson
Richard L
RL
Ringer
Steven A
SA
D000328:Adult; D005260:Female; D005315:Fetal Diseases / Q000209:etiology / Q000473:pathology*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000209:etiology / Q000473:pathology*; D008297:Male; D010920:Placenta / Q000473:pathology; D010922:Placenta Diseases / Q000209:etiology / Q000473:pathology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000473:pathology*; D011250:Pregnancy Complications, Hematologic / Q000473:pathology; D013927:Thrombosis / Q000150:complications / Q000473:pathology*