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Get Hold Of The Placenta. It Is Not Too Late!

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dc.contributor.authorArvend Kugaanen_US
dc.contributor.authorHayati Abd Rahmanen_US
dc.contributor.authorNur Syahrina Binti Rahimen_US
dc.date.accessioned2024-05-28T03:28:14Z
dc.date.available2024-05-28T03:28:14Z
dc.date.issued2019
dc.date.submitted2/20/2020
dc.description.abstractIntroduction: Examination of placenta provides an insight into the aetiology of stillbirth. Obstetricians and general pathologists have tendency to underestimate the significance of placental examination. We report a case of a perinatal death, where the placenta was retrieved from the burial site and was in fact the cause of death in the stillborn. Case Report: A 26-year-old lady, G2P1 at 28 weeks gestation, was investigated for persistent sudden left upper limb pain and numbness associated with bluish discoloration of the fingers. Further investigations revealed a left ulnar artery stenosis and she was suspected to have microvascular/connective tissue disease. During her admission, a fetal assessment performed showed absence of fetal heart activity. Her first child was born 2 years ago at 35 weeks with low birth weight of 1.28 kg. She subsequently underwent induction of labour and delivered a macerated stillborn. After a small focal sampling of the placenta in the labour room for histopathological examination, it was handed over to the parents for burial purposes. A consent for autopsy was obtained afterwards. Upon request by the pathologists and with the consent of the parents, the placenta disc was immediately retrieved from the burial site within 24 hours. On thorough examination of the placenta, there was a significant area of infarction within the placental disc. Microscopically, there was decidual spiral arterioles vasculopathy. Both the macroscopic and microscopic changes were not seen in the initial tissue sampling. These underlying uteroplacental insufficiency were supportive evidences to the hypoxic mode of death identified at autopsy. Learning Points: Placental examination remains necessary as part of investigations in any stillbirth. In instances where a consent for autopsy cannot be obtained, the placenta may provide the answer to the cause of the perinatal death.en_US
dc.identifier.citationKugaan, Arvend & Rahman, Hayati & Rahim, Nur. (2019). Get hold of the placenta. It is not too late!en_US
dc.identifier.epage412
dc.identifier.issn0126-8635
dc.identifier.issue3
dc.identifier.spage411
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/4273
dc.identifier.volume41
dc.language.isoenen_US
dc.publisherMalaysian College Of Pathologistsen_US
dc.relation.ispartofMalaysian Journal of Pathologyen_US
dc.titleGet Hold Of The Placenta. It Is Not Too Late!en_US
dc.typeArticleen_US
dspace.entity.typePublication

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