Spencer Michael K, Khong T Yee
Department of Obstetrics and Gynaecology, University of Adelaide, Australia.
Arch Pathol Lab Med. 2003 Feb;127(2):205-7. doi: 10.5858/2003-127-205-CTGFPE.
The College of American Pathologists developed a consensual guideline for placental examination that included indications for the submission of placentas for pathologic examination. The adherence to this guideline is not known.
To identify the number of placentas that were and that should have been examined by a tertiary-care hospital according to the College of American Pathologists' practice guideline and to compare the indications listed by medical staff on their pathology request forms with the clinical events recorded on the hospital's databases.
Data from the hospital computer databases and from pathology request forms were collected for all 987 deliveries occurring at a tertiary-level maternity hospital from April through June 2000.
Fewer than 20% of placentas were examined, but about 50% should have been. Maternal fever and suspected neonatal infection were the indications with the lowest examination rates. Neonatal indications were infrequently listed.
This hospital examined approximately one third of the placentas that should have been examined. When the placentas were examined, the medical staff often failed to appropriately list the indications on their pathology request forms.
美国病理学家学会制定了一份关于胎盘检查的共识性指南，其中包括提交胎盘进行病理检查的指征。目前尚不清楚该指南的遵循情况。
根据美国病理学家学会的实践指南，确定一家三级医疗医院已检查和应检查的胎盘数量，并比较医务人员在病理申请表上列出的指征与医院数据库中记录的临床事件。
收集了2000年4月至6月在一家三级妇产医院发生的所有987例分娩的医院计算机数据库和病理申请表中的数据。
接受检查的胎盘不到20%，但约50%的胎盘应接受检查。产妇发热和疑似新生儿感染的检查率最低。很少列出新生儿相关指征。
这家医院检查了约三分之一应检查的胎盘。当胎盘接受检查时，医务人员在病理申请表上往往未能正确列出指征。
