Placental abnormality may affect the fetus adversely. The purpose of this study was to identify the prevalence of placental histopathological examination in a private hospital setting and analyse the placental histopathology findings for high-risk pregnancies. A retrospective cross-sectional study was conducted at the Mater Hospital in Sydney from January 2018 to June 2020. The placental histopathology was classified as per the 2014 Amsterdam Placental Workshop Group criteria, enabling uniformity for analysis. There were 5594 live births during the study period. Of these, 5% (256/5594) were low birth weight (LBW). Placental histopathology was conducted for 8% (443/5594) of the live births and 59% (152/256) of LBW births. The LBW group was subclassified into small for gestation (SGA) (n=66) and non-SGA (n=86) to analyse differences in placental abnormalities between the two groups. Of SGA, 82% (54/66) had placental abnormality compared to 76% (65/86) for non-SGA. Intervillous fibrin deposits (p=0.013) and smaller placental weight (p=0.008) were more common in the SGA; whereas the placental inflammatory-immune process was more common in the non-SGA. Original placental histopathology reports did not employ the objective Amsterdam classification system, thereby risking subjective or variable interpretation by clinicians. In conclusion, placental histopathology plays an important role in neonatal management. A quality improvement project may improve the prevalence of placental histopathological examination.
| Published in | American Journal of Pediatrics (Volume 8, Issue 1) |
| DOI | 10.11648/j.ajp.20220801.13 |
| Page(s) | 10-13 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Low Birth Weight (LBW), Placental Histopathology, Placental Vascular Malperfusion
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APA Style
Roy Bithi, Gonzalez Jeannette, Kwok Adrian, Walker Karen, Morgan Catherine, et al. (2022). Routine Placental Histopathological Examination: Provides Answers in Neonatal Management. American Journal of Pediatrics, 8(1), 10-13. https://doi.org/10.11648/j.ajp.20220801.13
ACS Style
Roy Bithi; Gonzalez Jeannette; Kwok Adrian; Walker Karen; Morgan Catherine, et al. Routine Placental Histopathological Examination: Provides Answers in Neonatal Management. Am. J. Pediatr. 2022, 8(1), 10-13. doi: 10.11648/j.ajp.20220801.13
AMA Style
Roy Bithi, Gonzalez Jeannette, Kwok Adrian, Walker Karen, Morgan Catherine, et al. Routine Placental Histopathological Examination: Provides Answers in Neonatal Management. Am J Pediatr. 2022;8(1):10-13. doi: 10.11648/j.ajp.20220801.13
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Download@article{10.11648/j.ajp.20220801.13,
author = {Roy Bithi and Gonzalez Jeannette and Kwok Adrian and Walker Karen and Morgan Catherine and Webb Annabel and Badawi Nadia and Novak Iona},
title = {Routine Placental Histopathological Examination: Provides Answers in Neonatal Management},
journal = {American Journal of Pediatrics},
volume = {8},
number = {1},
pages = {10-13},
doi = {10.11648/j.ajp.20220801.13},
url = {https://doi.org/10.11648/j.ajp.20220801.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20220801.13},
abstract = {Placental abnormality may affect the fetus adversely. The purpose of this study was to identify the prevalence of placental histopathological examination in a private hospital setting and analyse the placental histopathology findings for high-risk pregnancies. A retrospective cross-sectional study was conducted at the Mater Hospital in Sydney from January 2018 to June 2020. The placental histopathology was classified as per the 2014 Amsterdam Placental Workshop Group criteria, enabling uniformity for analysis. There were 5594 live births during the study period. Of these, 5% (256/5594) were low birth weight (LBW). Placental histopathology was conducted for 8% (443/5594) of the live births and 59% (152/256) of LBW births. The LBW group was subclassified into small for gestation (SGA) (n=66) and non-SGA (n=86) to analyse differences in placental abnormalities between the two groups. Of SGA, 82% (54/66) had placental abnormality compared to 76% (65/86) for non-SGA. Intervillous fibrin deposits (p=0.013) and smaller placental weight (p=0.008) were more common in the SGA; whereas the placental inflammatory-immune process was more common in the non-SGA. Original placental histopathology reports did not employ the objective Amsterdam classification system, thereby risking subjective or variable interpretation by clinicians. In conclusion, placental histopathology plays an important role in neonatal management. A quality improvement project may improve the prevalence of placental histopathological examination.},
year = {2022}
}
TY - JOUR T1 - Routine Placental Histopathological Examination: Provides Answers in Neonatal Management AU - Roy Bithi AU - Gonzalez Jeannette AU - Kwok Adrian AU - Walker Karen AU - Morgan Catherine AU - Webb Annabel AU - Badawi Nadia AU - Novak Iona Y1 - 2022/01/17 PY - 2022 N1 - https://doi.org/10.11648/j.ajp.20220801.13 DO - 10.11648/j.ajp.20220801.13 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 10 EP - 13 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20220801.13 AB - Placental abnormality may affect the fetus adversely. The purpose of this study was to identify the prevalence of placental histopathological examination in a private hospital setting and analyse the placental histopathology findings for high-risk pregnancies. A retrospective cross-sectional study was conducted at the Mater Hospital in Sydney from January 2018 to June 2020. The placental histopathology was classified as per the 2014 Amsterdam Placental Workshop Group criteria, enabling uniformity for analysis. There were 5594 live births during the study period. Of these, 5% (256/5594) were low birth weight (LBW). Placental histopathology was conducted for 8% (443/5594) of the live births and 59% (152/256) of LBW births. The LBW group was subclassified into small for gestation (SGA) (n=66) and non-SGA (n=86) to analyse differences in placental abnormalities between the two groups. Of SGA, 82% (54/66) had placental abnormality compared to 76% (65/86) for non-SGA. Intervillous fibrin deposits (p=0.013) and smaller placental weight (p=0.008) were more common in the SGA; whereas the placental inflammatory-immune process was more common in the non-SGA. Original placental histopathology reports did not employ the objective Amsterdam classification system, thereby risking subjective or variable interpretation by clinicians. In conclusion, placental histopathology plays an important role in neonatal management. A quality improvement project may improve the prevalence of placental histopathological examination. VL - 8 IS - 1 ER -
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