Background: Trauma in pregnancy occurs in approximately 7% of all pregnant women in industrialized countries. The present study was conducted to evaluate placental histology after maternal trauma in pregnancy.
Materials & Methods: The present study was conducted on 67 Placentas from women exposed to maternal trauma 20 weeks’ gestational age. Serial fetal and neonatal brain imaging by means of ultrasound and magnetic resonance imaging (MRI) as well as histological examination of the placenta and a neurological follow-up of the infant until 5 years of age were performed.
Results: Gestational age at delivery was 39.2 weeks, mode of delivery was vaginal in 56 and cesarean in 11 and pre term birth was evident in 4. Umbilical cord knots was seen in 2, diameter was 1.2 cm, coiling index was 0.76 cm, maternal vascular malperfusion was seen in 34, accelerated villous maturation was seen in 28, retroplacental hematoma was seen in 51 and thrombus fetal chorionic plate was seen in 42 cases. The reason of trauma was fall in 34, domestic violence in 17 and road traffic accident in 16 cases.
Conclusion: Authors found that placenta histology may depict wide range of findings.
Key words: Gestational, Placenta, umbilical cord knots