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54 ~mrics 07

PLACENTAL ANOMALIES 0
Abnormal lobes of placenta 0:00:Se

Plo.cento..~s
• A smoJ\ lobe po.centa. sq:>orcded ~om rncu)
• ~oomecled~ ma.n~o..wai"l b l o o d ~

Pbc.enu,..e,1'obcdn/ Pbceoto.. ~ e l ~ Ouf>'e>C:


• Thx>equa.llobes~ ~ J
sepo.rctted eo.cl'\ other".
• ooe umbiicDJ cord supplieS blood~
both, lobes.

COmpl~ suc.centuriaro/Plo.c.ento.. biloboi<li


,. Plo.cento..prev~
a. vo.so.. prev~ seen in postpo.rtum pei-ut
3
• ~rt-.ase.} h smal\er lobe r-emruns
4. , ~ inS\de

tJote ' \n pbcenm. WJin pres~ WJO umb1ic4.I cord;


wU\ be ~uiie1"eo.s p ~ b ~ w i j \ oci4ooe m~
umbiicoJ corJituchauahary19 199@gmail.co1'n

Pbc.em-A. rn.alHobo.tA: P l ~ ho.s moce fuo.n a lobes.

Placenta succenturiata 00:05:44

i blood ~ l s

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Q Obltettb • v4.5 • Marrow 6.6 • 2023


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07 Placental
0 55
Anomalies
Plo..c.enh succentur~to.. leo.d.s to 1
f>lo..centn_ prevlo.. I
• enttre/pnrt -\he pto..cento.. \S in the lower uter1ne
se.9ment.
• f>leedi"'3 WU\ be maiernru.

v~previo..1
• blood ~els be\ween moJn lobe and smQJ\
lobe l1e (Ne(° -the ~en-.al OS.
• l.\hen po.ttent>s meO"\branes rupture or when os diklies,
these blood ~ l s which ore o.. po.rt urnb~icoJ cord
set ruptured.
• f>leedi"'3 WU\ be~ to

Plo.cenm. spurioJ
• Smo.l\ pa.rt pto..cento.. sepo.ro..tes ~m mo.in plo.c.enta.
• tJot comeeted b~ b\ood. ves5els.
• lt iS ro.re..

membro.nous plo.cemn.:
• Thin plQ.Cemn. present -throughou.t -the entire u.wrus or
entire chor-ionic so.c.
• Vd\i Me present h°OU;9hou..t -the u.terus o.nd be
deep~ embedded .9iv1r9 rise -to plo.cento.. ~rem.
• it is r'lr9 it \S coJle<J. o.nnulM placenta.

COrnplic.mionS rneinbro.nous p~o.. :

L Seconc:l -trmes-ter o..bor-t\ons.1 oue -to decreASed


rituot:e~ fl99@g mafI. ifffirsterone CAUSed b~
mproper p1o.cental \uncl\on
a AntepM-tum Metn0rrh09e <APw.
4. Pos-tportum ho.errorrho.se <PPw.
i
Fenestrated placenta 00:15:14 j
.::.:.
()
ro • A po.rt pla.ceoto.. or ~\edon is MiuroJ\~ absent.
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Q Obstetrics • v4.5 • Marrow 6.6 • 2023


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58 Obltetrb 07

• \t 3enero11~ does not le4.cl to ~lco.tior&.

Bxtrachorial placenta 00:15:.44

• Sornet\meS ~o.l slcle (chor\oolc p,o.te) Is SIN!\ Mel


mo.½emoJ s~ CbosGl plo..-te) b'9 (usuoJ\~ we~
lo oreo).
¥ ~ ~ ~ D t i ' A ~ ~ ~ side in the
~~o..r'rs,
• 'There ore WJO

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Q • ¥4-6 • Marrow lb • 2023
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07 Placental 57
AnomaHes

L Clf"CumrrM.9ino.te a. Clrcumval\o.te
• ea.so.I pb.te \S b~er du.e • e,o.so..1 phle \S b~ef"
to ~in + clots. due to exh"o.. CUNeS O<'
• ea.so.I pbie Surroun ds
chorooc plo.½e in ihe membrcmes.
o..r~ • VQ)ve l~e
• Tro.nsition be\wee n bosoJ runnioo o.nd chorion is
p1o..te o.nd chorionc pl~ seen be\ween choriooic
\Ssmxx h plo..½e o.nd bosoJ plo.te.
• Fetal blood ~ I s do
not ex-te nd~ tt-.e
choriooie plo.ie.

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Compieo.h>os ~tr-o.. chorial p~o..1


• Abrup\io plo.c.ento.. - APH.

• Pre-ter m kiliour.
• Fetru 9fowth restr-lction - as ~al side Is smal\er, , ~
bloo d~to ~

These compllcMiorE. Me more ~io..te .d l>J\th


circwnvoJ\Ate plo.cento.. fuM circummru-.9wwe pia.cento..

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Q Obs1etrlca • v4.5 • Marrow 6.5 • 2023


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