The “Great Obstetrical Syndromes” are associated with disorders of deep placentation - 19/08/11
Résumé |
Defective deep placentation has been associated with a spectrum of complications of pregnancy including preeclampsia, intrauterine growth restriction, preterm labor, preterm premature rupture of membranes, late spontaneous abortion, and abruptio placentae. The disease of the placental vascular bed that underpins these complications is commonly investigated with targeted biopsies. In this review, we critically evaluate the biopsy technique to summarize the salient types of defective deep placentation, and propose criteria for the classification of defective deep placentation into 3 types based on the degree of restriction of remodeling and the presence of obstructive lesions in the myometrial segment of the spiral arteries.
Le texte complet de cet article est disponible en PDF.Key words : adverse pregnancy outcome, physiological transformation, placental vascular bed, spiral artery
Plan
Supported, in part, by the Division of Intramural Research of the Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health/Department of Health and Human Services. |
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Reprints not available from the authors. |
Vol 204 - N° 3
P. 193-201 - mars 2011 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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