Placental Chorangiosis: Increased Risk for Cesarean Section
Joint Authors
Zhang, Ziying
Khangura, Raminder Kaur
Sangha, Roopina
Petersen, Shariska S.
Davydov, Dmitry
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-05-21
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We describe a patient with Class C diabetes who presented for nonstress testing at 36 weeks and 4 days of gestation with nonreassuring fetal heart tones (NRFHT) and oligohydramnios.
Upon delivery, thrombosis of the umbilical cord was grossly noted.
Pathological analysis of the placenta revealed chorangiosis, vascular congestion, and 40% occlusion of the umbilical vein.
Chorangiosis is a vascular change of the placenta that involves the terminal chorionic villi.
It has been proposed to result from longstanding, low-grade hypoxia in the placental tissue and has been associated with such conditions such as diabetes, intrauterine growth restriction (IUGR), and hypertensive conditions in pregnancy.
To characterize chorangiosis and its associated obstetric outcomes we identified 61 cases of “chorangiosis” on placental pathology at Henry Ford Hospital from 2010 to 2015.
Five of these cases were omitted due to lack of complete records.
Among the 56 cases, the cesarean section rate was 51%, indicated in most cases for nonreassuring fetal status.
Thus, we suggest that chorangiosis, a marker of chronic hypoxia, is associated with increased rates of cesarean sections for nonreassuring fetal status because of long standing hypoxia coupled with the stress of labor.
American Psychological Association (APA)
Petersen, Shariska S.& Khangura, Raminder Kaur& Davydov, Dmitry& Zhang, Ziying& Sangha, Roopina. 2017. Placental Chorangiosis: Increased Risk for Cesarean Section. Case Reports in Obstetrics and Gynecology،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1147410
Modern Language Association (MLA)
Petersen, Shariska S.…[et al.]. Placental Chorangiosis: Increased Risk for Cesarean Section. Case Reports in Obstetrics and Gynecology No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1147410
American Medical Association (AMA)
Petersen, Shariska S.& Khangura, Raminder Kaur& Davydov, Dmitry& Zhang, Ziying& Sangha, Roopina. Placental Chorangiosis: Increased Risk for Cesarean Section. Case Reports in Obstetrics and Gynecology. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1147410
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147410