Placental and umbilical cord anomalies detected by ultrasound as clinical risk factors of adverse perinatal outcome: Case series review of selected conditions. Part 1: Placental abnormalities

Author:

Tonni Gabriele1ORCID,Lituania Mario2ORCID,Cecchi Alessandro3,Carboni Elisa3,Grisolia Gianpaolo4ORCID,Bonasoni Maria Paola5ORCID,Rizzo Giuseppe6ORCID,Ruano Rodrigo7ORCID,Araujo Júnior Edward8ORCID,Werner Heron9ORCID,Sepulveda Waldo10ORCID,

Affiliation:

1. Department of Obstetrics and Neonatology Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), AUSL Reggio Emilia Reggio Emilia Italy

2. Preconceptional and Prenatal Pathophysiology, Department of Obstetrics and Gynecology E.O. Ospedali Galliera Genoa Italy

3. Department of Obstetrics and Gynecology Regional Prenatal Diagnostic 2 Level Center, ASUR, Loreto Hospital Loreto Italy

4. Department of Obstetrics and Gynecology Carlo Poma Hospital, AST Mantova Mantua Italy

5. Department of Pathology Santa Maria Nuova Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), AUSL Reggio Emilia Reggio Emilia Italy

6. Department of Maternal and Child Health Urological Sciences, Policlinc Hospital Umberto I, University “La Sapienza” Rome Italy

7. Division of Maternal‐Fetal Medicine, Department of Obstetrics, Gynecology & Reproductive Sciences University of Miami Leonard M. Miller School of Medicine Miami Florida USA

8. Department of Obstetrics Paulista School of Medicine—Federal University of São Paulo (EPM‐UNIFESP) São Paulo Brazil

9. Department of Fetal Medicine Biodesign Laboratory DASA/PUC Rio de Janeiro Brazil

10. FETALMED–Maternal‐Fetal Diagnostic Center Fetal Imaging Unit Santiago Chile

Abstract

AbstractBackgroundThe aim of this extended review of multicenter case series is to describe the prenatal ultrasound features and pathogenetic mechanisms underlying placental and umbilical cord anomalies and their relationship with adverse perinatal outcome. From an educational point of view, the case series has been divided in three parts; Part 1 is dedicated to placental abnormalities.MethodsMulticenter case series of women undergoing routine and extended prenatal ultrasound and perinatal obstetric care.ResultsPrenatal ultrasound findings, perinatal care, and pathology documentation in cases of placental pathology are presented.ConclusionsOur case series review and that of the medical literature confirms the ethiopathogenetic role and involvement of placenta abnormalities in a wide variety of obstetrics diseases that may jeopardize the fetal well‐being. Some of these specific pathologies are strongly associated with a high risk of poor perinatal outcome.

Publisher

Wiley

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