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A Study Evaluating Morphology of Placenta and Fetal Outcomes in Hypertensive Pregnancies

Ravi Alamchandani, Senior Manager, CTM­ Medical Services, Lambda Therapeutic Research Ltd., Ahmedabad, Gujarat 382481, India. , Kantilal Parmar1 , Gopal V. Shah2 , Ravi Alamchandani3

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Indian Journal of Anatomy 7(6):p 626-636, Nov-Dec 2018. | DOI: http://dx.doi.org/10.21088/ija.2320.0022.7618.10

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Abstract

Normal formation, full development and functions of the placenta determine the survival and growth of foetus. Study of placenta gives insight into the health condition of fetus. Materials & Methods: A total of 500 subjects, each in hypertensive and normotensive group were included in this study conducted in Anatomy Department of SBKS Medical College and Research Centre, Vadodara. Results: In the hypertensive groups, 80% females were primigravida while 20% females were multigravida. In the hypertensive group,there was significant increase in the number of deliveries occurring at pre­term (35%) and a significant proportion of deliveries were by lower section caesarean section (45%). Mean birth weight of the babies was 2.82±0.43 in control and 2.33 ± 0.84kg in hypertension group. On examining the morphometry of the placentas, it was observed that mean placental weight was 541.4±30.62g in control group as against 478.4±30.62g in the hypertension group. The mean placental diameter was 19.87±1.47 cm in control group while it was 17.87±1.47cm in another group. In the hypertension group the placental area, volume and thickness were significantly less as compared to control group. Mean number of cotyledons were 18.46±1.54 in control group as against 16.46±1.54 in hypertension group. Fetoplacental ratio and placental co­efficient were 5.23±0.86 and 0.19±0.02 in control group and 4.88±1.79 and 0.17±0.06 in the hypertension group. Conclusion: Hypertensive disorders of pregnancy have significant effect on the morphology and morphometry of placenta and also influences the fetal outcomes.

 

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DOI: http://dx.doi.org/10.21088/ija.2320.0022.7618.10

Keywords

Placenta; Fetus; Morphology; Morphometry; Hypertensive Pregnancies.  

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