The Turkish Journal of Pediatrics
2014 , Vol 56 , Num 4
Placental Findings of IUGR and Non-IUGR
1Neonatology Unit, Department of Pediatrics, Hacettepe University Faculty of Medicine, Departments of 2Pediatric Pathology, and Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey, 3Department of Obstetrics and
Gynecology and Obstetrics and Obstetrics Hacettepe University Faculty of Medicine, Ankara, TurkeyE-mail: duyguiskender@gmail.com This study aims to define the placental findings in intrauterine growth restriction (IUGR). The study group consisted of 40 neonates without IUGR and 24 neonates with IUGR, including their placentas.
The cases were separated into three groups according to gestational age. Group A (n=21): 37 ≤ weeks, Group B (n=27): 32≤ - <37 weeks, Group C (n=16): < 32 weeks. Each group had two subgroups, IUGR and non-IUGR.
The placentas from the non-IUGR subgroup were heavier than the IUGR subgroup placentas in the term group (p<0.05). Infarct (over 5%), increased syncytial knots and histiocytic intervillositis were more common in the IUGR cases (p<0.05).
This study shows that chronic patterns of injury are significantly increased in placentas from pregnancies complicated by IUGR. If the injury in the placenta is acute or mild, fetal adaptation can compensate and prevent fetal growth restriction.
Keywords : IUGR, placental findings, gestational age.