Salafia C M, Vintzileos A M
Department of Pathology, University of Connecticut Health Center, Farmington 06032.
Am J Obstet Gynecol. 1990 Oct;163(4 Pt 1):1282-93. doi: 10.1016/0002-9378(90)90708-f.
Placental pathology is rarely a part of the training for either obstetrician or pathologist. As a result there has been confusion regarding the potential benefits of routine placental examination. These benefits include clarification of the causes of many adverse pregnancy outcomes, improvement of the risk assessment for future pregnancies, and ascertainment of newborn risk for long-term neurodevelopment sequelae. Information on placental abnormalities may reveal the presence of chronic fetal insults and allow their differentiation from acute (peripartum) stresses. Current methods of risk assessment fail to identify the majority of pregnancies that end in prematurity, stillbirth, growth retardation, or fetal distress. We suggest that placental pathology should be a routine component of obstetric-neonatal care.
胎盘病理学很少成为产科医生或病理学家培训内容的一部分。因此，对于常规胎盘检查的潜在益处一直存在困惑。这些益处包括阐明许多不良妊娠结局的原因、改善对未来妊娠的风险评估以及确定新生儿发生长期神经发育后遗症的风险。有关胎盘异常的信息可能揭示慢性胎儿损伤的存在，并使其与急性（围产期）应激相区分。目前的风险评估方法无法识别大多数以早产、死产、生长受限或胎儿窘迫告终的妊娠。我们建议胎盘病理学应成为产科 - 新生儿护理的常规组成部分。
