Relationship between the extent of histologic villous mineralization and stillbirth in aneuploid and euploid fetuses

To describe the relationship between the degree of placental histologic villous mineralization (VM) and stillbirth in aneuploid and euploid fetuses. The extent of VM for aneuploid and gestational age-matched euploid placentas was graded semiquantitatively on a 0 to 3 scale based on the number of ter...

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Veröffentlicht in:Journal of the Society for Gynecologic Investigation 2002-09, Vol.9 (5), p.290-293
Hauptverfasser: PIERCE, Brian T, MARTIN, Laura S, HUME, Roderick F, CALHOUN, Byron C, MUIR-PADILLA, Jeannie, SALAFIA, Carolyn M
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container_issue 5
container_start_page 290
container_title Journal of the Society for Gynecologic Investigation
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creator PIERCE, Brian T
MARTIN, Laura S
HUME, Roderick F
CALHOUN, Byron C
MUIR-PADILLA, Jeannie
SALAFIA, Carolyn M
description To describe the relationship between the degree of placental histologic villous mineralization (VM) and stillbirth in aneuploid and euploid fetuses. The extent of VM for aneuploid and gestational age-matched euploid placentas was graded semiquantitatively on a 0 to 3 scale based on the number of terminal or stem villi containing mineralizations in forty x10 fields of view. The extent of VM was analyzed in relation to fetal status at delivery (liveborn or stillborn) for both aneuploid and euploid fetuses. For 14 available aneuploid placentas, grade 0 or 1 VM was recorded for seven aneuploid specimens, of which two were stillborn. Grade 2 or 3 VM was recorded for seven aneuploid specimens, of which six were stillborn. Fourteen gestational age-matched euploid placentas served as controls. Grade 0 or 1 VM was observed in nine euploid specimens, of which four were stillborn. Grade 2 or 3 VM was observed in five euploid specimens, of which four were stillborn. For aneuploid fetuses, stillbirth was significantly more frequent with grade 2 or 3 VM compared with grade 0 or 1 VM (chi(2) = 4.667, P .05). Histologic VM is not a universal finding in, or exclusive to, stillbirths. Aneuploid but not euploid stillbirths show increased histologic VM compared with livebirths. This may implicate impaired placental or circulatory function as a mechanism for death in aneuploid fetuses.
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The extent of VM for aneuploid and gestational age-matched euploid placentas was graded semiquantitatively on a 0 to 3 scale based on the number of terminal or stem villi containing mineralizations in forty x10 fields of view. The extent of VM was analyzed in relation to fetal status at delivery (liveborn or stillborn) for both aneuploid and euploid fetuses. For 14 available aneuploid placentas, grade 0 or 1 VM was recorded for seven aneuploid specimens, of which two were stillborn. Grade 2 or 3 VM was recorded for seven aneuploid specimens, of which six were stillborn. Fourteen gestational age-matched euploid placentas served as controls. Grade 0 or 1 VM was observed in nine euploid specimens, of which four were stillborn. Grade 2 or 3 VM was observed in five euploid specimens, of which four were stillborn. For aneuploid fetuses, stillbirth was significantly more frequent with grade 2 or 3 VM compared with grade 0 or 1 VM (chi(2) = 4.667, P &lt;.05). This relationship did not exist for euploid fetuses (chi(2) = 1.659, P &gt;.05). Histologic VM is not a universal finding in, or exclusive to, stillbirths. Aneuploid but not euploid stillbirths show increased histologic VM compared with livebirths. 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The extent of VM for aneuploid and gestational age-matched euploid placentas was graded semiquantitatively on a 0 to 3 scale based on the number of terminal or stem villi containing mineralizations in forty x10 fields of view. The extent of VM was analyzed in relation to fetal status at delivery (liveborn or stillborn) for both aneuploid and euploid fetuses. For 14 available aneuploid placentas, grade 0 or 1 VM was recorded for seven aneuploid specimens, of which two were stillborn. Grade 2 or 3 VM was recorded for seven aneuploid specimens, of which six were stillborn. Fourteen gestational age-matched euploid placentas served as controls. Grade 0 or 1 VM was observed in nine euploid specimens, of which four were stillborn. Grade 2 or 3 VM was observed in five euploid specimens, of which four were stillborn. For aneuploid fetuses, stillbirth was significantly more frequent with grade 2 or 3 VM compared with grade 0 or 1 VM (chi(2) = 4.667, P &lt;.05). 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Andrology. Obstetrics</topic><topic>Humans</topic><topic>Karyotyping</topic><topic>Medical sciences</topic><topic>Minerals - analysis</topic><topic>Pregnancy</topic><topic>Pregnancy. Fetus. 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source MEDLINE; SAGE Journals; Alma/SFX Local Collection
subjects Aneuploidy
Biological and medical sciences
Chorionic Villi - chemistry
Chorionic Villi - pathology
Chromosomes, Human, Pair 10
Chromosomes, Human, Pair 13
Chromosomes, Human, Pair 18
Diseases of mother, fetus and pregnancy
Down Syndrome - pathology
Female
Fetal Death - genetics
Fetal Death - pathology
Gene Deletion
Gestational Age
Gynecology. Andrology. Obstetrics
Humans
Karyotyping
Medical sciences
Minerals - analysis
Pregnancy
Pregnancy. Fetus. Placenta
Trisomy
title Relationship between the extent of histologic villous mineralization and stillbirth in aneuploid and euploid fetuses
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