MORPHOLOGICAL FEATURES OF THE PLACENTA IN VELAMENTOUS CORD INSERTION
DOI:
https://doi.org/10.11603/24116-4944.2022.1.13247Keywords:
placental dysfunction, velamentous cord insertion, morphology of the placenta, fetal asphyxiaAbstract
The aim of the study – to assess the morphological features of placenta in patients with velamentous cord insertion in relation to the possible risk of critical fetal conditions.
Materials and Methods. A retrospective study and assessment of the morphological features of placenta in 62 patients (32 of them with velamentous cord insertion) who had full-term baby births with asphyxia of varying degrees of severity were conducted. Instrumental methods of examination of a fetal condition, dopplerometry, macroscopic and histologic analysis of placental tissue, and statistical methods of calculation were used.
Results and Discussion. Risk factors for velamentous cord insertion have been established: young age (20–25 years old), multiple pregnancies, change in amniotic fluid index, fetal growth retardation syndrome, abnormal fetal position and presentation. The birth of babies in a critical condition is associated with velamentous cord insertion, low placental mass, low fetal-placental ratio and disruption of utero-fetal blood flow.
Conclusions. The risk of giving birth to a fetus in a critical condition increases by 4.4 times with velamentous cord insertion; operative delivery is carried out 2.1 times more often.
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