{"id":3166,"date":"2026-06-05T01:24:42","date_gmt":"2026-06-05T01:24:42","guid":{"rendered":"https:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=3166"},"modified":"2026-06-05T01:24:42","modified_gmt":"2026-06-05T01:24:42","slug":"ijar-2026-113","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2026-113","title":{"rendered":"IJAR.2026.113"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.14.2\/IJAR.2026.113.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-14-2.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong> \u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 14; Issue 2 (June<\/strong><strong>\u00a02026)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong> 9479-9489<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2026.113<\/h3>\n<h3 style=\"text-align: justify;\">Gestational Diabetes-Induced Alterations in Placental Morphology and Microarchitecture: A Quantitative Comparative Study<\/h3>\n<p><strong>Sharmadha K L <sup>1<\/sup>, Yogi Anupkumar Balakrishnan <\/strong><sup>2<\/sup><strong>, Ajay N <\/strong><sup>3<\/sup><strong>, Tejaswi H L *<sup>4<\/sup><\/strong>.<\/p>\n<p style=\"text-align: justify;\"><sup>1<\/sup> Assistant Professor, Department of Anatomy, Adichunchanagiri Institute of Medical Sciences, Adichunchanagiri University, B G Nagara \u2013 571448, Nagamangala Taluk, Mandya District, Karnataka, India. <strong>ORCiD: <\/strong>0009-0001-2131-8902<\/p>\n<p style=\"text-align: justify;\"><sup>2<\/sup> Professor, Department of Anatomy, Adichunchanagiri Institute of Medical Sciences, Adichunchanagiri University, B G Nagara \u2013 571448, Nagamangala Taluk, Mandya District, Karnataka, India. <strong>ORCiD: <\/strong>0000-0002-5968-341X<\/p>\n<p style=\"text-align: justify;\"><sup>3<\/sup> Professor, Department of Anatomy, Adichunchanagiri Institute of Medical Sciences, Adichunchanagiri University, B G Nagara \u2013 571448, Nagamangala Taluk, Mandya District, Karnataka, India. <strong>ORCiD: <\/strong>0000-0003-4141-5782<\/p>\n<p style=\"text-align: justify;\"><sup>*4<\/sup> Professor and Head, Department of Anatomy, Adichunchanagiri Institute of Medical Sciences, Adichunchanagiri University, B G Nagara \u2013 571448, Nagamangala Taluk, Mandya District, Karnataka, India. <strong>ORCiD: <\/strong>0000-0001-9214-8202<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author: <\/strong>Dr. Tejaswi H L, Professor and Head, Department of Anatomy, Adichunchanagiri Institute of Medical Sciences, Adichunchanagiri University, B G Nagara \u2013 571448, Nagamangala Taluk, Mandya District, Karnataka, India. Phone number: 9986322186<strong> E-Mail:<\/strong> drtejaswihl@gmail.com<\/p>\n<p><strong>Abstract<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background:<\/strong> Gestational Diabetes Mellitus (GDM) is a common pregnancy related disease. Diabetes mellitus affects 2.5% of pregnancies of which 65% are gestational diabetes mellitus and 35% are complicated by pre-existing diabetes mellitus. The placenta is an important organ serving as a connection between mother and growing fetus. This critical organ undergoes drastic modification in response to hyperglycemic condition. Previous studies have shown that GDM alters placental morphology, vascular patterns and histopathological features. However, a detailed comparative study of these parameters across different treatment modalities in GDM remain limited. This study aims to identify and analyze placenta changes associated with GDM across different treatment modalities.<\/p>\n<p style=\"text-align: justify;\"><strong>Objective:<\/strong>\u00a0 To compare the changes in morphological, histopathological and vascular features between normal pregnancies and pregnancies complicated with GDM- classified by different treatment modalities as diet-controlled, tablet- treated or insulin- treated patients.<\/p>\n<p style=\"text-align: justify;\"><strong>Methods:<\/strong> In our study we have analyzed 70 placentas 50 normal pregnancies and 20 GDM pregnancies across different modalities. Placental samples were collected from OBG department of Adichunchanagiri Institute of Medical Sciences, soon after the delivery, analyzed for morphometric (cotyledon number, weight, thickness), and vascular (umbilical vein\/artery pattern), then tissue samples were taken for histopathological examination for different quantitative and qualitative parameters. Statistical analyses included independent t-tests, one-way ANOVA, and chi-square tests. Findings are presented in tables and graphs.<\/p>\n<p style=\"text-align: justify;\"><strong>Results:<\/strong> Significant abnormalities were found in placental morphometry, architecture, and histopathology for GDM, most marked in insulin-treated cases. Magistral vascular patterns predominated in GDM groups. Syncytial knots, chorangiosis, and infarction emerged as qualitative discriminators.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong> Morphometric, vascular, and histopathological placental parameters are all significantly altered in GDM pregnancy. More severe changes were observed in the Insulin-treated patients. This suggest that the routine placental assessment can help us in stratifying the perinatal risk and modulate the treatment strategies in GDM patients\u00a0<\/p>\n<p style=\"text-align: justify;\"><strong>Key words:<\/strong>\u00a0 Gestational Diabetes Mellitus (GDM), Morphology, Magistral, Villi, Syncytial Knots, Chorangiosis.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<p style=\"text-align: justify;\">[1]. International Association of Diabetes and Pregnancy Study Groups Consensus Panel. International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care. 2010;33(3):676-82.<br \/>https:\/\/doi.org\/10.2337\/dc09-1848<br \/>PMid:20190296 PMCid:PMC2827530<br \/>[2]. Sweeting A, Wong J, Murphy HR, et al. A clinical update on gestational diabetes mellitus. 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Brown J, Alwan NA, West J, Brown S, McKinlay CJ, Farrar D, et al. Lifestyle interventions for the treatment of women with gestational diabetes. Cochrane Database Syst Rev. 2017;5(5):CD011970.<br \/>https:\/\/doi.org\/10.1002\/14651858.CD011970.pub2<br \/>PMid:28472859<br \/>[19]. Lowe WL Jr, Scholtens DM, Lowe LP, Kuang A, Nodzenski M, Talbot O, et al. Association of Gestational Diabetes With Maternal Disorders of Glucose Metabolism and Childhood Adiposity. JAMA. 2018;320(10):1005-1016.<br \/>https:\/\/doi.org\/10.1001\/jama.2018.11628<br \/>PMid:30208453 PMCid:PMC6143108<br \/>[20]. Rodrigues P, Furtado J, Sarmento P, Santos AC, Almeida MC. Microscopic changes and gross morphology of placenta in women with gestational diabetes mellitus under dietary control: A systematic review. Placenta. 2025;156:1-9.<br \/>[21]. Elamin A, Mohammed Ahmed M, El Elhaj A, Ahmed Hussien T, Abdelrahman Mohamed A, Mohamed H, et al. Vicissitudes in the placental cotyledon number in a singleton pregnancy with gestational diabetes. Int J Appl Basic Med Res. 2022;12(1):24-28.<br \/>https:\/\/doi.org\/10.4103\/ijabmr.ijabmr_230_21<br \/>PMid:35265477 PMCid:PMC8848564<br \/>[22]. Khaskheli MN, Baloch S, Baloch A. Effect of gestational diabetes mellitus on placental morphology. Pakistan J Med Health Sci. 2013;7(3):632-636.<br \/>[23]. Sharmila T, Gunapriya R, Jaya V. Morphometric study of placenta in gestational diabetes and its correlation with fetal outcome. J Clin Diagn Res. 2017;11(2):AC05-AC08.<br \/>[24]. Daskalakis G, Marinopoulos S, Krielesi V, Papapanagiotou A, Papantoniou N, Mesogitis S, et al. Placental pathology in women with gestational diabetes. Acta Obstet Gynecol Scand. 2008;87(4):403-7.<br \/>https:\/\/doi.org\/10.1080\/00016340801908783<br \/>PMid:18382864<br \/>[25]. Go M. Gestational Diabetes Mellitus and Associated Placental Histopathology: A Narrative Literature Review. 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Lancet. 1986;1(8476):307-10.<br \/>https:\/\/doi.org\/10.1016\/S0140-6736(86)90837-8<br \/>[38]. Damm P, Houshmand-Oeregaard A, Kelstrup L, Lauenborg J, Mathiesen ER, Clausen TD. Gestational diabetes mellitus and long-term consequences for mother and offspring: a view from Denmark. Diabetologia. 2016;59(7):1396-9.<br \/>https:\/\/doi.org\/10.1007\/s00125-016-3985-5<br \/>PMid:27174368 PMCid:PMC6364673<\/p>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Sharmadha K L, Yogi Anupkumar Balakrishnan, Ajay N, Tejaswi H L. Gestational Diabetes-Induced Alterations in Placental Morphology and Microarchitecture: A Quantitative Comparative Study. Int J Anat Res 2026;14(2):9479-9489. <strong>DOI:\u00a0<\/strong>10.16965\/ijar.2026.113\u00a0 \n             <\/div>\t\n\t\t\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of Article: \u00a0Original Research Volume 14; Issue 2 (June\u00a02026) Page No.: 9479-9489 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2026.113 Gestational Diabetes-Induced Alterations in Placental Morphology and Microarchitecture: A Quantitative Comparative Study Sharmadha K L 1, Yogi Anupkumar Balakrishnan 2, Ajay N 3, Tejaswi H L *4. 1 Assistant Professor, Department of Anatomy, Adichunchanagiri Institute of Medical Sciences, Adichunchanagiri University, B<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2026-113\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/3166"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=3166"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/3166\/revisions"}],"predecessor-version":[{"id":3167,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/3166\/revisions\/3167"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=3166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}