Features of afterbirth of fetuses with congenital malformations from 35 weeks of gestation

Abstract

According to foreign authors in the structure of child morbidity and mortality in the majority of developed countries, the congenital malformations of fetus and newborn take the first place [6,7,9,10]. The comparative analysis of macro- and microscopic features of placenta in women with congenital malformations of fetus and newborn (the main group - 37 patients) and in women of comparison group (15 patients) with period of gestation from 35 weeks is shown in this article. Organometric and macroscopic analysis of afterbirth in mothers with congenital malformations of fetus revealed some peculiarities: the anomalies of attachment of the umbilical cord, the disturbances of blood circulation in placenta. During the analysis of signs of infectious pathology, the fact that in mothers of the main group the placental chorioamnionitis occurred more frequent (in 2,5 times), the parietal chorioamnionitis (in 2,12 times), the basal deciduitis (in 1,21 times). The lesion of the intervillous lacuna (the intervillositis) occurred in 1,23 times frequent in the main group than in the comparison group, and the inflammation in the transition of fetus’ membranes to chorionic and basal plates of the afterbirth (marginal placentitis) occurred more frequent in 1,36 times.