Doris Schuler-Maloney received a bachelor's degree from the University of Wisconsin at Green Bay and a master of science degree from the University of Maryland at Baltimore, where she also trained as a pathologists' assistant. She is a Fellow Member of the American Association of Pathologists' Assistants, and is employed at Mercy Medical Center in Des Moines, Iowa, as a pathologists' assistant.
PLACENTAL TRIAGE OF THE SINGLETON PLACENTA
Version of Record online: 26 JAN 2011
2000 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 45, Issue 2, pages 104–113, March-April 2000
How to Cite
Schuler-Maloney, D. (2000), PLACENTAL TRIAGE OF THE SINGLETON PLACENTA. Journal of Midwifery & Womens Health, 45: 104–113. doi: 10.1016/S1526-9523(99)00045-8
- Issue online: 26 JAN 2011
- Version of Record online: 26 JAN 2011
Triage is the sorting and allocation of treatment according to a system of priorities in order to maximize treatment. Placental triage promptly after delivery of the placenta, with documentation of the findings in the medical record, only takes a few minutes, and allows for the identification of abnormal placentas to be submitted for detailed gross and microscopic pathology examination. It requires familiarity with normal gross placental anatomy and variations of normal, and the development of a systematic procedure for comprehensive examination of the placental disk as a whole, the umbilical cord, the extraplacental membranes, the fetal surface, the maternal surface, and the parenchyma. This article provides a systematic approach to gross examination of the placenta. It also reviews the clinical and legal impact of placenta examination, and suggests procedures that will optimize the information available in the placenta.