Ventolini Gary, Samlowski Ralph, Hood Dan L
Department of Obstetrics and Gynecology, Wright State University, Dayton, Ohio 45409-2793, USA.
Am J Perinatol. 2004 Aug;21(6):325-8. doi: 10.1055/s-2004-831882.
Should all placentas be sent to pathology for examination after delivery room triage? A cohort of 88 placentas was prospectively obtained and examined from low-risk, singleton, term pregnancies after uneventful delivery. All patients had a normal prenatal testing and anatomy ultrasound. Fifty-one placentas (58%) were normal. Thirty-seven of the placental cohort (42%) had abnormal findings. Thirteen of the abnormal placentas (35.1%) showed pathology unassociated with fetal compromise. Twenty-four of the placentas (27.3% of the total cohort and 64.9% of the abnormal placentas) showed findings associated with fetal compromise. The most common pathologies were marginal cord insertion, chorioamnionitis, and abruption. Routine placental examination is not indicated, according to our data, in low-risk, singleton, and term pregnancy unless the placenta is determined to be abnormal at delivery examination.
所有胎盘在产房分诊后都应送去做病理检查吗？我们前瞻性地收集了88例胎盘，这些胎盘来自低风险、单胎、足月妊娠且分娩过程顺利的产妇。所有患者产前检查和解剖超声均正常。51例胎盘（58%）正常。胎盘队列中有37例（42%）有异常发现。13例异常胎盘（35.1%）显示的病理情况与胎儿窘迫无关。24例胎盘（占总队列的27.3%，异常胎盘的64.9%）显示的发现与胎儿窘迫有关。最常见的病理情况是边缘性脐带附着、绒毛膜羊膜炎和胎盘早剥。根据我们的数据，对于低风险、单胎、足月妊娠，除非在分娩检查时确定胎盘异常，否则不建议进行常规胎盘检查。
