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Perinatal outcome associated with sonographically detected globular placenta
Luissa Fisteag-Kiprono1, Ran Neiger, Jiri D Sonek
1Department of Obstetrics and Gynecology, Wright State University, Dayton, Ohio, USA.
The Journal of Reproductive Medicine
|August 18, 2006
Summary
Globular placenta, identified via ultrasound, can resolve spontaneously with good outcomes. However, persistent globular placental appearance is linked to poor perinatal results, necessitating close pregnancy monitoring.
Area of Science:
- Perinatal Medicine
- Diagnostic Ultrasound
- Obstetrics
Background:
- The sonographic appearance of a globular placenta is characterized by hyperechogenicity, thickness, and high vascularity.
- It lacks the typical tapering edges seen in normal placentas.
Purpose of the Study:
- To investigate the association between the sonographic finding of a globular placenta and perinatal outcomes.
- To determine the clinical significance of persistent globular placental morphology.
Main Methods:
- Prospective follow-up of pregnant women diagnosed with globular placentas during routine sonography.
- Evaluation of pregnancy course and perinatal outcomes in the study cohort.
Main Results:
- Of 14 women with globular placentas, 7 showed spontaneous normalization with good perinatal outcomes.
- The remaining 7 women experienced poor perinatal outcomes, including fetal demise, severe intrauterine growth restriction, oligohydramnios, and placental abruption.
- Persistent globular placental appearance was associated with adverse outcomes, with cesarean deliveries occurring between 26 and 31 weeks in severe cases.
Conclusions:
- Spontaneous resolution of globular placenta occurs in approximately half of cases, leading to normal perinatal outcomes.
- Persistent globular placental morphology is a significant indicator of poor perinatal outcomes.
- Close monitoring is crucial for pregnancies identified with a globular placenta.
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