THE ULTRASTRUCTURE OF THE ARTERIAL SUPPLY OF THE HUMAN PLACENTA IN PREGNANCY COMPLICATED BY FETAL GROWTH RETARDATION
Article first published online: 23 AUG 2005
DOI: 10.1111/j.1471-0528.1976.tb00781.x
Issue
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BJOG: An International Journal of Obstetrics & Gynaecology
Volume 83, Issue 12, pages 948–959, December 1976
Additional Information
How to Cite
Sheppard, B. L. and Bonnar, J. (1976), THE ULTRASTRUCTURE OF THE ARTERIAL SUPPLY OF THE HUMAN PLACENTA IN PREGNANCY COMPLICATED BY FETAL GROWTH RETARDATION. BJOG: An International Journal of Obstetrics & Gynaecology, 83: 948–959. doi: 10.1111/j.1471-0528.1976.tb00781.x
Publication History
- Issue published online: 23 AUG 2005
- Article first published online: 23 AUG 2005
- Abstract
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Summary
The ultrastructure of the arterial supply of the human placenta was studied in 15 pregnancies with severe fetal growth retardation. There were five patients with essential hypertension and superimposed pre-eclampsia, five patients with preeclampsia, and five patients with no hypertension. The patients were delivered by elective Caesarean section and biopsies of the placental bed were taken under direct vision. Extensive placental infarction was invariably present and the degree of infarction reflected the extent of pathological changes in the spiral arteries. In both hypertensive and normotensive patients the spiral arteries and basal arteries of the decidua showed occlusive atheromatous lesions with considerable fibrin deposition and accumulation of lipid-laden cells in both the intima and media of the vessel walls.

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