Study on Morphology of Placenta and Fetal Outcomes in Hypertensive Pregnancies
Authors/Creators
- 1. Senior Resident, Department of Obstetrics and Gynaecology, Darbhanga Medical College and Hospital, Laheriasarai, Bihar
- 2. Tutor, Department of Anatomy, All India Institute of Medical Sciences, Patna, Bihar
- 3. Professor and Head of Department, Department of Obstetrics and Gynaecology, Darbhanga Medical College and Hospital, Laheriasarai, Bihar
Description
Background: The placenta’s normal construction, complete development, and functions dictate the survival and growth of the fetus. Study on the placenta provides information on the health of the developing fetus. Methods: In all, 100 participants were involved in this study, which ran from February 2023 to January 2024 in the Department of Obstetrics and Gynecology at the DMCH in Laheriasarai, Bihar, with assistance from the Department of Anatomy. Participants were divided into two groups: those with hypertension and those without it. Results: Twenty percent of the females in the hypertensive groups were multigravida, compared to 80% of primigravida females. Preterm births increased significantly (to 35%) and lower section caesarean sections accounted for a sizable part of deliveries (to 45%) in the hypertensive group. The babies’ mean birth weights were 2.82±0.43 kg in the control group and 2.33±0.84 kg in the hypertension group. The mean placental weight was found to be 541.4±30.62g in the control group and 478.4±30.62g in the hypertension group upon morphometry analysis of the placentas. In one group, the mean placental diameter was 17.87±1.47 cm, whereas in the control group it was 19.87±1.47 cm. comparing the hypertension group to the control group, there was a substantial decrease in placental area, volume, and thickness. 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: Pregnancy-related hypertension affects the placenta’s shape and morphometry, as well as the health of the developing fetus.
Abstract (English)
Background: The placenta’s normal construction, complete development, and functions dictate the survival and growth of the fetus. Study on the placenta provides information on the health of the developing fetus. Methods: In all, 100 participants were involved in this study, which ran from February 2023 to January 2024 in the Department of Obstetrics and Gynecology at the DMCH in Laheriasarai, Bihar, with assistance from the Department of Anatomy. Participants were divided into two groups: those with hypertension and those without it. Results: Twenty percent of the females in the hypertensive groups were multigravida, compared to 80% of primigravida females. Preterm births increased significantly (to 35%) and lower section caesarean sections accounted for a sizable part of deliveries (to 45%) in the hypertensive group. The babies’ mean birth weights were 2.82±0.43 kg in the control group and 2.33±0.84 kg in the hypertension group. The mean placental weight was found to be 541.4±30.62g in the control group and 478.4±30.62g in the hypertension group upon morphometry analysis of the placentas. In one group, the mean placental diameter was 17.87±1.47 cm, whereas in the control group it was 19.87±1.47 cm. comparing the hypertension group to the control group, there was a substantial decrease in placental area, volume, and thickness. 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: Pregnancy-related hypertension affects the placenta’s shape and morphometry, as well as the health of the developing fetus.
Files
IJPCR,Vol16,Issue5,Article87.pdf
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Additional details
Dates
- Accepted
-
2024-04-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue5,Article87.pdf
- Development Status
- Active
References
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