What is it about?
A Study Evaluating Morphology of Placenta and Fetal Outcomes in Hypertensive Pregnancies
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Why is it important?
Normal formation, full development and functions of the placenta determine the survival and growth of foetus. Study of placenta gives insight into the health condition of fetus. Materials & Methods: A total of 500 subjects, each in hypertensive and normotensive group were included in this study conducted in Anatomy Department of SBKS Medical College and Research Centre, Vadodara. Results: In the hypertensive groups, 80% females were primigravida while 20% females were multigravida. In the hypertensive group,there was significant increase in the number of deliveries occurring at preterm (35%) and a significant proportion of deliveries were by lower section caesarean section (45%). Mean birth weight of the babies was 2.82±0.43 in control and 2.33 ± 0.84kg in hypertension group. On examining the morphometry of the placentas, it was observed that mean placental weight was 541.4±30.62g in control group as against 478.4±30.62g in the hypertension group. The mean placental diameter was 19.87±1.47 cm in control group while it was 17.87±1.47cm in another group. In the hypertension group the placental area, volume and thickness were significantly less as compared to control group. Mean number of cotyledons were 18.46±1.54 in control group as against 16.46±1.54 in hypertension group. Fetoplacental ratio and placental coefficient were 5.23±0.86 and 0.19±0.02 in control group and 4.88±1.79 and 0.17±0.06 in the hypertension group. Conclusion: Hypertensive disorders of pregnancy have significant effect on the morphology and morphometry of placenta and also influences the fetal outcomes.
Perspectives
Normal formation, full development and functions of the placenta determine the survival and growth of foetus. Study of placenta gives insight into the health condition of fetus. Materials & Methods: A total of 500 subjects, each in hypertensive and normotensive group were included in this study conducted in Anatomy Department of SBKS Medical College and Research Centre, Vadodara. Results: In the hypertensive groups, 80% females were primigravida while 20% females were multigravida. In the hypertensive group,there was significant increase in the number of deliveries occurring at preterm (35%) and a significant proportion of deliveries were by lower section caesarean section (45%). Mean birth weight of the babies was 2.82±0.43 in control and 2.33 ± 0.84kg in hypertension group. On examining the morphometry of the placentas, it was observed that mean placental weight was 541.4±30.62g in control group as against 478.4±30.62g in the hypertension group. The mean placental diameter was 19.87±1.47 cm in control group while it was 17.87±1.47cm in another group. In the hypertension group the placental area, volume and thickness were significantly less as compared to control group. Mean number of cotyledons were 18.46±1.54 in control group as against 16.46±1.54 in hypertension group. Fetoplacental ratio and placental coefficient were 5.23±0.86 and 0.19±0.02 in control group and 4.88±1.79 and 0.17±0.06 in the hypertension group. Conclusion: Hypertensive disorders of pregnancy have significant effect on the morphology and morphometry of placenta and also influences the fetal outcomes.
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This page is a summary of: A Study Evaluating Morphology of Placenta and Fetal Outcomes in Hypertensive Pregnancies, Indian Journal of Anatomy, January 2018, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ija.2320.0022.7618.10.
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