Page 35 - OB Risks - Delivering the Goods (Part Two)
P. 35

SVMIC Obstetrics Risks: Delivering the Goods


                       •  Hypocoiling, hypercoiling, or an area of constriction


                       •  True knot


                       •  Number of umbilical vessels

                       •  Any discoloration, hemorrhage, cyst, thrombosis, surface

                          nodules, or masses



                   Extraplacental Membranes

                       •  Completeness


                       •  Membrane rupture site

                       •  Appearance of membranes – normally translucent and

                          shiny but may be opaque or discolored yellow, green,
                          brown, or red brown


                       •  Insertion of the membranes
                                                                56


                   When determining whether pathological examination is
                   warranted, the physician should consider the following:



                     Maternal Conditions

                       •  Diabetes


                       •  Hypertension


                       •  Maternal substance abuse

                       •  Prematurity (less than completion of 37th gestational

                          week)

                       •  Post-maturity (greater than the completion of the 42nd

                          week)




                   56     Indications for submission and microscopic examination of the placenta; https://onlinelibrary.
                          wiley.com/doi/full/10.1111/apm.12830

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