Baldwin V J
Contrib Gynecol Obstet. 1982;9:1-16.
The thorough and interested pathologic examination of the placenta may explain events during pregnancy, give evidence of perinatal complications, document patterns of twinning, raise suspicions regarding fetal anomalies or explain the source of perinatal diseases, anomalies or growth retardation. The findings ascertained by such examinations may be particularly significant in the neonatal management of the sick infant and genetic counselling of a family delivered of an abnormal fetus. There are many instances where lesions are seen in the placenta without apparent explanation or where the clinical situation would suggest severe placental pathology but none is identified. These frustrating situations may yield in the future to closer clinical pathological correlation and more sophisticated analyses as long as these are undertaken in the context of the two individuals reacting through the placenta.
对胎盘进行全面且细致的病理检查，可解释孕期发生的事件，提供围产期并发症的证据，记录双胎妊娠模式，引发对胎儿异常的怀疑，或解释围产期疾病、异常或生长迟缓的根源。此类检查所确定的结果，对于患病婴儿的新生儿管理以及异常胎儿出生家庭的遗传咨询可能具有特别重要的意义。在许多情况下，胎盘会出现病变，但却没有明显的解释，或者临床情况提示存在严重的胎盘病理改变，但却未被发现。只要在通过胎盘相互作用的两个人的背景下进行更密切的临床病理关联和更复杂的分析，这些令人沮丧的情况在未来可能会得到改善。
