Type of Article : Orginal
Year: 2014 | Volume 2 | Issue 4 | Page No. 625-629
Date of Publication: 31-10-2014
DOI: 10.16965/ijar.2014.509
A STUDY OF PLACENTAL WEIGHT AND FETAL OUTCOME IN DIFFERENT GRADES OF PREGNANCY INDUCED HYPERTENSION
Raghavendra. A. Y *1, Vinay. K.V 2, Veena Pai 3.
*1 Assistant Professor, Dept. Of Anatomy, K S Hegde Medical Academy, Mangaluru, Karnataka, India.
2 Associate Professor, Dept. Of Anatomy, K S Hegde Medical Academy, Mangaluru, Karnataka, India.
3 Professor, Dept. Of Anatomy, Sri Siddhartha Medical College, Tumkur, Karnataka, India.
Address: Dr. Raghavendra. A. Y, Assistant Professor, Dept. Of Anatomy, K S Hegde Medical Academy, Mangaluru, Karnataka, India. E-Mail: raghav4n72@gmail.com
Abstract
Introduction and Objectives: Placenta is a feto-maternal organ which is vital for maintaining pregnancy and promoting normal development of the fetus. The weight of the placenta is functionally significant because it is related to villous surface area and to fetal metabolism. Present study has done to record the placental weight and co-relate with the corresponding fetal weight.
Materials and Methods: A total of 100 placentae were studied, out of which 50 placentae belong to pregnancy induced hypertension and 50 placentae were of normotensive pregnant mothers. The weight of placenta and weight of fetus were compared between normotensive (Control) and hypertensive mothers (Cases).
Results: The mean weight of placenta in study group was low as compared to that in the control group. The birth weight of newborn was low with increasing grades of hypertension compared to control groups. The feto- placental weight ratio was higher in case of mild and severe preeclampsia. The incidence of stillbirth was 0.5%, 12.5% and 20% in mild pre-ecampsia, severe preeclampsia and eclampsia respectively.
Conclusion: In present study, the birth weight was low with increasing grades of hypertension compared to control groups. The fetal: placental weight ratio was higher in case of mild and severe preeclampsia. The incidence of eclampsia was more common in primigravida where as mild preeclampsia was more common in multigravida. The mean weight of placenta in study group was low compared to control group. Thus study of placental changes in pregnancy induced hypertension may help us to understand patho-physiological mechanisms and design treatment plans for better maternal and foetal outcome. Modern sophisticated techniques like ultrasonography have made it possible to study the necessary placental parameters in utero. This helps in assessing the foetal outcome and management.
Key words: Feto-Placental weight ratio, Pre-Eclampsia.
References
[1]. Udainia A, Bhagwat SS, Mehta CD. Relation between placental surface area, infarction and fetal distress in pregnancy induced hypertension with its clinical relevance. Journal of Anatomical Society of India. 2004;53(1):27-30.
[2]. Jitendra P, Ravi DP, Ritesh KS. Morphological study of placenta in normal uncomplicated pregnancy in Gujarat region. International Journal of Biological & Medical Research. 2013;4(2):3155-3158.
[3]. Landesmon R, Douglas RG, Holze E. The bulbar conjuctival vascular bed in toxemias of pregnancies. American Journal of Obstetrics & Gynaecology, 1954;68: 170-172.
[4]. Kouvalainen K, Pynnonen AI, Mkaarainen M, Peltonen T. Weights of placental membranes and Umblical cord. Duodecim. 1971;87(17):1210-1214.
[5]. Maqueo M, Azuela JC, Vega MDDL. Placental pathology in eclampsia and preeclampsia. Obstet Gynecol. 1964;24(3):350-5.
[6]. Andersch B, Srensson A, Hanson. Charactersitics of hypertension in pregnancy. Acta Obstet Gynecol Scand. 1984;118: 33-8.
[7]. Das B, Dutta D, Chakraborthy S, Nath P. Placental morphology in hypertensive disorders of pregnancy and its co-relation with fetal outcome. Journal of Obstet Gynecol India. 1996:40-6.
[8]. Dutta KD, Dutta B. Study of human placenta associated with pre-eclampsia and essential hypertension in relation to fetal outcome. Journal of Obstet Gynecol India. 1989;757-68.
[9]. Udainia A, Jain ML. Morphological study of placenta in pregnancy induced hypertension with its clinical relevance. Journal of Anatomical Society of India. 2001;50:24-7.
[10]. Mohan H, Sodhi S, Mohan PS, Jaiswal TS, Nagpal K, Rathee S. Fetal correlation with placental pathology in toxemia of pregnancy. Journal of Obstet Gynecol India. 1989;170-5.
[11]. Fox H. The significance of placental infarction in perinatal morbidity and mortality. Biol Neo. 1967;11:87-105.
[12]. Pasricha N. Placental morphology and its co-relation with fetal outcome in pregnancy-induced hypertension. International Journal of Basic and Applied Medical Sciences. 2012;2(3) September-December:120-125.
[13]. Sumit G. Correlation of placental weight and fetal outcome in pregnancy induced hypertension. Journal of Obstet Gynecol India. 2013;170-5.
Raghavendra. A. Y, Vinay. K.V, Veena Pai. A STUDY OF PLACENTAL WEIGHT AND FETAL OUTCOME IN DIFFERENT GRADES OF PREGNANCY INDUCED HYPERTENSION. Int J Anat Res 2014;2(4):625-629. DOI: 10.16965/ijar.2014.509