Roberts Drucilla J, Oliva Esther
Department of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
J Matern Fetal Neonatal Med. 2006 May;19(5):255-64. doi: 10.1080/14767050600676349.
Complete pathologic evaluation of the placenta provides valuable information for perinatal care for the obstetrician, neonatologist, pediatrician, and family. The histopathology of the placenta can answer specific questions about in utero insults, give insight into management of subsequent pregnancies, and provide an assessment of the newborn risk. Placental pathology has been a key litigious informant in inferring timing of insults. Despite these well known advantages of placental pathologic examination, it remains an under-utilized part of perinatal medicine. This stems from a historically under-taught part of surgical and autopsy pathology resulting in inadequate reporting. This review will focus on the utility of the placental examination for fetal and maternal well-being. This review will be restricted to singleton births.
对胎盘进行全面的病理评估可为产科医生、新生儿科医生、儿科医生及患儿家庭的围产期护理提供有价值的信息。胎盘的组织病理学能够解答有关子宫内损伤的具体问题，为后续妊娠的管理提供见解，并评估新生儿风险。在推断损伤发生时间方面，胎盘病理学一直是关键的诉讼证据。尽管胎盘病理检查具有这些众所周知的优势，但它仍然是围产期医学中未得到充分利用的一部分。这源于外科和尸检病理学在历史上教学不足，导致报告不充分。本综述将重点关注胎盘检查对胎儿和母亲健康的作用。本综述将仅限于单胎分娩。
