Anomalies of The Placenta and Cord

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ANOMALIES

OF THE
PLACENTA AND CORD
The third stage of labor can also
result in complication
ANOMALIES OF THE PLACENTA
The normal placenta weighs approximately 500g and is 15 to 20cm in
diameter and 1.5 to 3.0cm thick
It's weight is approximately one sixth that of the fetus
Placenta may be unusually be enlarged when a woman with DIABETES.
PLACENTA SUCCENTURIATE
PLACENTA SUCCENTURIATE

- A placenta that has one or more accesory lobes connected to the main placenta by blood
vessels.
- No fetal abnormality
-If small lobes retained in uterus after birth after birth,lead to MATERNAL HEMORRHAGE
-If the remaining lobe is removed from the uterus, the uterus will contract and no adverse
effect.
PLACENTA CIRCUMVALLA

In placenta circumvallata the fetal side of the placenta is


covered with some extent with chorion.

PLACENTA MARGINATA
-The fold of chorion reaches just to the edge of the
placenta.
-No abnormalities are associated with this type of
placenta
PLACENTA CIRCUMVALLA
and
PLACENTA MARGINATA
CHORION- is a double-layered membrane
formed by the trophoblast and the extra-
embryonic mesoderm, which eventually will give
rise to the fetal part of the placenta.
BATTLEDORE PLACENTA

-The cord inserted marginally rather than centrally


-This is a rare anomaly.
VASA PREVIA

-In vasa previa the umbilical vessels of a velamentous cord insertion cross the
cervical os and therefore deliver before the fetus.
-The vessels may tear during cervical dilation just as placenta previa may tear.
VASA PREVIA
PLACENTA ACCRETA

Is an unusually deep attachment of the placenta to the


uterine myometrium, so deep that the placenta will not
loosen and deliver.
PLACENTA ACCRETA

Attempt to remove it manually may lead to extreme


hemorrhage because of deep attachment.
ANOMALIES
OF THE
CORD
TWO-VESSEL CORD
V
A A

The absence of one of the umbilical arteries is associated with congenital heart and
kidney because the insult that cause the loss of vessel may have also affected other
mesoderm germ layer structure.
AFTER BIRTH:
INSPECT THE CORD DOCUMENT NUMBER OF VESSEL
UNUSUAL CORD LENGTH

An unusually SHORT UMBILICAL CORD can result to premature separation


of the placenta or an abnormal fetal lie.
An unusually LONG UMBILICAL CORD may be easily compromised because
its tendency to twist or knot.
UNUSUAL CORD LENGTH

occasionally a cord actually forms a knot


It is not unusual for a cord to wrap once around the fetal neck (nuchal cord), but
again with no interference to fetal circulation.
Anomalies of the placenta and cord
(such as placenta succenturiara,velamentous cord
insertion, vasa previa, and two-vessel cord)
can lead to birth complications.

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