Skip to main content Accessibility help
×
Home
Hostname: page-component-684bc48f8b-kbzls Total loading time: 3.317 Render date: 2021-04-11T10:13:49.330Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "metricsAbstractViews": false, "figures": false, "newCiteModal": false, "newCitedByModal": true }

IMPROVING THE DIAGNOSIS AND MANAGEMENT OF FETAL GROWTH RESTRICTION: THE RATIONALE FOR A PLACENTA CLINIC

Published online by Cambridge University Press:  19 October 2004

VANDANA CHADDHA
Affiliation:
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
WENDY M WHITTLE
Affiliation:
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
JOHN CP KINGDOM
Affiliation:
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.

Extract

Successful pregnancy outcome depends on a co-coordinated series of events in development designed to attain normal placental function. The critical importance of placental vascular development is appreciated when a wide range of pregnancy complications including preterm labour (PTL), preterm premature rupture of the membranes (PPROM), pre-eclampsia (PE), fetal growth restriction (FGR), fetal demise (FD), and abruptio placenta (ABR) are all associated with restricted maternal and/or fetal blood flow, and secondary pathological lesions in the placental parenchyma. Other developmental defects of the placenta, such as its site (placenta praevia), extent of myometrial invasion (placenta accreta) or cord insertion (vasa praevia), may have major detrimental maternal and/or fetal effects if unrecognized during the antenatal period. In January 1999 we commenced a “Placenta Clinic� within the Fetal Medicine Unit at Mount Sinai Hospital (Toronto, Canada). Our rationale was that the early identification of many of these problems may, by facilitating appropriate multidisciplinary care and an elective delivery plan, reduce the attendant risks of maternal and perinatal morbidity and/or mortality due to placental malfunction.

Type
Research Article
Copyright
© 2004 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below.

Full text views

Full text views reflects PDF downloads, PDFs sent to Google Drive, Dropbox and Kindle and HTML full text views.

Total number of HTML views: 0
Total number of PDF views: 23 *
View data table for this chart

* Views captured on Cambridge Core between September 2016 - 11th April 2021. This data will be updated every 24 hours.

Send article to Kindle

To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

IMPROVING THE DIAGNOSIS AND MANAGEMENT OF FETAL GROWTH RESTRICTION: THE RATIONALE FOR A PLACENTA CLINIC
Available formats
×

Send article to Dropbox

To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

IMPROVING THE DIAGNOSIS AND MANAGEMENT OF FETAL GROWTH RESTRICTION: THE RATIONALE FOR A PLACENTA CLINIC
Available formats
×

Send article to Google Drive

To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

IMPROVING THE DIAGNOSIS AND MANAGEMENT OF FETAL GROWTH RESTRICTION: THE RATIONALE FOR A PLACENTA CLINIC
Available formats
×
×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *