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The “Great Obstetrical Syndromes” are associated with disorders of deep placentation
Open accessAbstract
Defective deep placentation has been associated with a spectrum of complications of pregnancy including preeclampsia, intrauterine growth restriction, preterm labor, preterm premature rupture of membranes, late spontaneous abortion, and abruptio placentae. The disease of the placental vascular bed that underpins these complications is commonly investigated with targeted biopsies. In this review, we critically evaluate the biopsy technique to summarize the salient types of defective deep placentation, and propose criteria for the classification of defective deep placentation into 3 types based on the degree of restriction of remodeling and the presence of obstructive lesions in the myometrial segment of the spiral arteries.
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“Inadequate placentation is seen in several common obstetrical syn dromes, including fetal growth restriction, spontaneous second trimester miscarriages, placental abruption, preterm birth, and hyper tensive disorders in pregnancy (Brosens et al., 2011).”
From Pregnancy-related maternal physiological adaptations and fetal chemical exposure (2023) · cites this paper as Brosens et al., 2011
In the citing paper
“Failure of trophoblast invasion and arterial remodeling is associated with the 'Great Obstetrical Syndromes', including growth restriction, pre-eclampsia and late spontaneous abortion, due to impaired maternal perfusion (64).”
From Placental Origins of Chronic Disease (2016) · cites this paper as [64]
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“Many adverse pregnancy outcomes, such as stillbirth, neonatal death, growth restriction, cerebral palsy (due to oxygen deprivation at birth), and preterm labor can be attributed to compromised placental function [1].”
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Bisphenol A, Bisphenol F, and Bisphenol S: The Bad and the Ugly. Where Is the Good?
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Magnetic resonance imaging‐estimated placental perfusion in fetal growth assessment
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Periodontal Conditions and Pathogens Associated with Pre-Eclampsia: A Scoping Review
Gare, J. V., Kanouté, A., Méda, N., Viennot, S., Bourgeois, D. M., & Carrouel, F. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18137194 · Cited by 52
“The defective deep placentation has been demonstrated in case of pre-eclampsia [87].”
BackgroundMaternal plasma concentrations of sST2 and angiogenic/anti-angiogenic factors in preeclampsia
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Self-citationPark, J. Y., Romero, R. J., Lee, J. H., Chaemsaithong, P., Chaiyasit, N., & Yoon, B. H. (2015) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.3109/14767058.2015.1094794 · Cited by 52
Self-citationAcute Atherosis of the Uterine Spiral Arteries: Clinicopathologic Implications
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Unraveling the mysteries of spiral artery remodeling
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Protein Misfolding during Pregnancy: New Approaches to Preeclampsia Diagnostics
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“The initial ‘unmapped’ reads were filtered out to remove poor-quality reads based on the following conditions: (1) base-quality score (that is, Phred score) of <30; (2) read length of <50 bp; (3) undetermined base (that is Ns) of >5 bp; (4) poly A/T lengths of >5 bp; and (5) low-complexity reads defined by a dust scor…”
Chaiworapongsa, T., Romero, R. J., Whitten, A. E., Tarca, A. L., Bhatti, G., Drăghici, S., Chaemsaithong, P., Miranda, J., & Hassan, S. S. (2013) · Journal of Perinatal Medicine · doi:10.1515/jpm-2013-0082 · Cited by 49
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“In preeclamptic placentas, one study reported that miR-125b-5p is upregulated in severe EOPE placentas (Yang et al., 2016) while another one showed downregulated miR-125b5p in LOPE (Simsek et al., 2022), and a third study reported no difference (Inno et al., 2021).”
BackgroundInfluentialPeripheral Insertion of Umbilical Cord
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Self-citation
Metadata
- Authors
- Brosens, I., Pijnenborg, R., Vercruysse, L., & Romero, R.
- Affiliations
- Leuven Institute for Fertility and Embryology (BE)
- Universitair Ziekenhuis Leuven (BE)
- National Institutes of Health (US)
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2011-03
- Volume
- 204
- Issue
- 3
- Pages
- 193-201
- ISSN
- 0002-9378 (ISSN-L)
- PMC
- PMC3369813
- OpenAlex
- W2034492080
- Cited by
- 1,568
- References
- 82
- Citations by year
- 2026: 123 · 2025: 126 · 2024: 128 · 2023: 147 · 2022: 153 · 2021: 155 · 2020: 145 · 2019: 121 · 2018: 91 · 2017: 79 · 2016: 61 · 2015: 69 · 2014: 66 · 2013: 49 · 2012: 30
- FWCI
- 4.99
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- National Institutes of Health
- U.S. Department of Health and Human Services
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Keywords
- great obstetrical syndromes, preeclampsia, fetal growth restriction, preterm labor, preterm premature rupture of membranes, miscarriage, placental abruption, spiral artery remodeling, placental biopsy
- MeSH terms
- Biopsy, Female, Humans, Placenta, Placenta Diseases, Pregnancy, Pregnancy Complications, Syndrome
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