Publisher： John Wiley & Sons Inc
E-ISSN： 1447-0756|1341-8076|10|1562-1568
ISSN： 1341-8076
Source： JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH (ELECTRONIC), Vol.1341-8076, Iss.10, 2015-10, pp. : 1562-1568
Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.
Abstract
AbstractAimThe aim of this study was to provide better counsel to pregnant women with suspected placental mesenchymal dysplasia (PMD) regarding the risks of preterm birth and intrauterine fetal death.Material and MethodsWe reviewed the outcomes of 109 PMD pregnancies with gestational week (GW) ≥ 24 abstracted from 63 reports in the English‐language published reports, including two cases that we encountered recently. The prospective risk of stillbirth at GW N was defined as the number of women with stillbirth at GW ≥ N divided by the number of women giving birth at GW ≥ N.ResultsA total of 32 (29.4%) women experienced stillbirth at a median GW of 31 (range, 24–38). Preterm birth (GW < 37) occurred in 52 (67.5%) of the 77 live‐born infants. Only 25 (22.9%) women had full‐term (GW ≥ 37) live‐born infants. The prospective risks of stillbirth were 29.4% (32/109), 27.5% (25/91), 20.9% (14/67) and 13.0% (6/46) for women who reached GW 24+0, 28+0, 32+0 and 36+0 respectively.ConclusionAs women with PMD are at markedly elevated risk of intrauterine fetal death, early admission to the hospital and intensive monitoring of fetal status should be considered, although whether this policy improves outcome has not been validated.
Related content
Access to resources
Recommend
EP17.22: Placental mesenchymal dysplasia: report of a case
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, Vol. 48, Iss. S1, 2016-09 ,pp. :
Rare fetal complications of PMD
JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH (ELECTRONIC), Vol. 41, Iss. 2, 2015-02 ,pp. :