By Diaz James
Careful assessment of the placenta can usually provide a lot perception into problems of being pregnant within the mom and fetus. The options of gross placental exam usually are not tricky, yet a scientific strategy is important to be whole. colour Atlas of Gross Placental Pathology, moment variation is designed to assist within the cautious and thorough gross exam of the placenta by means of delivering an illustrated guide of exam that incorporates basic adaptations, irregular findings, in addition to strange pathology.
"...this atlas encompasses a wealth of significant details for pathologists analyzing the placenta and offers exceptional illustrations. This atlas is very steered for all these engaged in pathologic exam of the placenta."
Archives of Pathology & Laboratory Medicine
"The caliber of any atlas depends upon transparent and acceptable illustrations and concise textual content in a layout that permits for speedy identity of particular entities. This atlas has either. the standard of the illustrations is best rate."
American magazine of Surgical Pathology
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Extra info for Color Atlas of Gross Placental Pathology
These are of no clinical signiﬁcance and are not prone to thrombosis or hemorrhage. 9. These complicated knots occurred in a 31-week infant. There is slight congestion, but no thrombosis was noted. There were no clinical signs of cord compromise. True knots and entanglements are common. Most are not associated with problems. They do occasionally cause fetal distress and death. Knots should be carefully examined for changes which suggest functionally signiﬁcant obstruction. 10. In fatal cord compressions, ﬂow in the vein has usually been compromised, leading to congestion on the placental side.
It is more frequently seen with twins and velamentous cord insertions. About 20% of infants missing one artery will have other major congenital anomalies which may involve any organ system. Many are of chromosomal etiology. The abnormalities are generally apparent in the neonatal period, except for the increased incidence of inguinal hernias. The “nonmalformed” infants missing one umbilical artery are slightly growth-retarded overall and have increased perinatal mortality. Cord accidents have been unusually frequent in this group.
Normal tables have been developed (Appendices B-4 and B-5), based on the entire length. Both abnormally long and short cords have signiﬁcant clinical correlates. Long cords (>75 cm) are well associated with knots and fetal entanglements. They may correlate with later hyperactivity. 14). 8. The vein redundancy in false knots can be quite impressive. These are of no clinical signiﬁcance and are not prone to thrombosis or hemorrhage. 9. These complicated knots occurred in a 31-week infant. There is slight congestion, but no thrombosis was noted.