Yetter J F
Department of Family Practice, Madigan Army Medical Center, Fort Lewis, Wash, USA.
Am Fam Physician. 1998 Mar 1;57(5):1045-54.
A one-minute examination of the placenta performed in the delivery room provides information that may be important to the care of both mother and infant. The findings of this assessment should be documented in the delivery records. During the examination, the size, shape, consistency and completeness of the placenta should be determined, and the presence of accessory lobes, placental infarcts, hemorrhage, tumors and nodules should be noted. The umbilical cord should be assessed for length, insertion, number of vessels, thromboses, knots and the presence of Wharton's jelly. The color, luster and odor of the fetal membranes should be evaluated, and the membranes should be examined for the presence of large (velamentous) vessels. Tissue may be retained because of abnormal lobation of the placenta or because of placenta accreta, placenta increta or placenta percreta. Numerous common and uncommon findings of the placenta, umbilical cord and membranes are associated with abnormal fetal development and perinatal morbidity. The placenta should be submitted for pathologic evaluation if an abnormality is detected or certain indications are present.
在产房对胎盘进行一分钟检查可提供对母婴护理可能很重要的信息。该评估结果应记录在分娩记录中。检查期间，应确定胎盘的大小、形状、质地和完整性，并注意有无副叶、胎盘梗死、出血、肿瘤和结节。应对脐带的长度、附着点、血管数量、血栓形成、打结情况以及华通胶的存在进行评估。应评估胎膜的颜色、光泽和气味，并检查胎膜是否存在大（帆状）血管。由于胎盘叶异常或胎盘粘连、胎盘植入或穿透性胎盘植入，可能会有组织残留。胎盘、脐带和胎膜的许多常见和不常见发现都与胎儿发育异常和围产期发病率有关。如果检测到异常或存在某些指征，应将胎盘送去做病理评估。
