Placenta and Fetal Growth Restriction
Abstract
The placenta, as the vector for all maternal-fetal oxygen and nutrient exchange, is a principal influence on birthweight. Placental weight summarizes laterally expanding growth of the chorionic disc, and villous arborization yielding the nutrient exchange surface. These different growth dimensions alter fetoplacental weight ratio and ponderal index, and thus may modify placental functional efficiency. The placenta may show a range of histopathologies, some of which are also associated with fetal growth restriction. Different fetal intrinsic abilities to compensate for gross and histo-pathology may clarify the imperfect relationships between fetal growth and both intrauterine pathology, and the long-term health risks associated with poor fetal growth.
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Hypertensive pregnancy disorders, compromised fetal growth, and fetal death often stem from placental dysfunction-either due to insufficient initial placentation or diminishing placental function with increasing gestational age.
“In particular, hypertensive pregnancy disorders, compromised fetal growth, and fetal death often stem from placental dysfunction—either due to insufficient initial placentation or diminishing placental function with increasing gestational age14,15.”
From Multi-centre deep learning for placenta segmentation in obstetric ultrasound with multi-observer and cross-country generalization (2023) · cites this paper as [15]
Placental volume as early as 11 to 13 weeks' gestation correlates with birth weight at term.
“The placental volume as early as 11 to 13 weeks’ gestation has long been known to correlate with birth weight at term [39].”
From Deep Learning Strategies for Ultrasound in Pregnancy (2020) · cites this paper as [39]
Placental insufficiency is associated with adverse pregnancy outcomes like fetal growth restriction (FGR), caused by insufficient transport of nutrients and oxygen through the placenta.
“Placental insufficiency is associated with adverse pregnancy outcomes like fetal growth restriction (FGR), caused by insufficient transport of nutrients and oxygen through the placenta [38].”
From Deep Learning Strategies for Ultrasound in Pregnancy (2020) · cites this paper as [38]
Birth weight is dependent on gestational age at delivery, maternal characteristics, and placental volume, vasculature and function.
“Birth weight is dependent upon numerous factors including gestational age at the time of delivery [1]; maternal characteristics [1–3]; and placental volume, vasculature and function [4].”
From Volume and vascularity: Using ultrasound to unlock the secrets of the first trimester placenta (2019) · cites this paper as [4]
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Consensus definition of fetal growth restriction: a Delphi procedure: Consensus definition of FGR
Gordijn, S. J., Beune, I. M., Thilaganathan, B., Papageorghiou, A., Baschat, A. A., Baker, P. N., Silver, R. M., Wynia, K., & Ganzevoort, W. (2016) · Ultrasound in Obstetrics & Gynecology · doi:10.1002/uog.15884 · Cited by 1,638 · see citing works
Placental Origins of Chronic Disease
Burton, G. J., Fowden, A. L., & Thornburg, K. L. (2016) · Physiological Reviews · doi:10.1152/physrev.00029.2015 · Cited by 717 · see citing works
Blake, B. E., & Fenton, S. E. (2020) · Toxicology · doi:10.1016/j.tox.2020.152565 · Cited by 499 · see citing works
The placenta in fetal growth restriction: What is going wrong?
Sun, C., Groom, K. M., Oyston, C., Chamley, L. W., Clark, A. R., & James, J. L. (2020) · Placenta · doi:10.1016/j.placenta.2020.05.003 · Cited by 253 · see citing works
Haavaldsen, C., Tanbo, T., & Eskild, A. (2012) · Human Reproduction · doi:10.1093/humrep/der428 · Cited by 120 · see citing works
Schwartz, N., Sammel, M. D., Leite, R., & Parry, S. (2014) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2014.02.033 · Cited by 80 · see citing works
Macrosomia has its roots in early placental development
Schwartz, N., Quant, H. S., Sammel, M. D., & Parry, S. (2014) · Placenta · doi:10.1016/j.placenta.2014.06.373 · Cited by 35 · see citing works
Deep Learning Strategies for Ultrasound in Pregnancy
Diniz, P. H. B., Yin, Y., & Collins, S. (2020) · EMJ Reproductive Health · doi:10.33590/emjreprohealth/20-00100 · Cited by 32 · see citing works
Volume and vascularity: Using ultrasound to unlock the secrets of the first trimester placenta
Mathewlynn, S., & Collins, S. L. (2019) · Placenta · doi:10.1016/j.placenta.2019.06.379 · Cited by 30 · see citing works
Gross placental measures and childhood growth
Baptiste-Roberts, K., Salafia, C. M., Nicholson, W. K., Duggan, A., Wang, N.-Y., & Brancati, F. L. (2009) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767050802415728 · Cited by 30 · see citing works
Self-citationAndreasen, L. A., Feragen, A., Christensen, A. N., Thybo, J. K., Svendsen, M. B. S., Zepf, K., Lekadir, K., & Tolsgaard, M. G. (2023) · Scientific Reports · doi:10.1038/s41598-023-29105-x · Cited by 28 · see citing works
“In particular, hypertensive pregnancy disorders, compromised fetal growth, and fetal death often stem from placental dysfunction— either due to insufficient initial placentation or diminishing placental function with increasing gestational age 14,15 .”
- Authors
- SALAFIA, C. M., CHARLES, A. K., & MAAS, E. M.
- Affiliations
- Columbia University (US)
- Venue
- Clinical Obstetrics and Gynecology
- Published
- 2006-06
- Volume
- 49
- Issue
- 2
- Pages
- 236-256
- ISSN
- 0009-9201 (ISSN-L)
- OpenAlex
- W2063634025
- Cited by
- 235
- References
- 103
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 17 · 2023: 12 · 2022: 7 · 2021: 13 · 2020: 19 · 2019: 7 · 2018: 18 · 2017: 22 · 2016: 13 · 2015: 14 · 2014: 23 · 2013: 10 · 2012: 13
- FWCI
- 0.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Obstetrics & Gynecology (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Keywords
- placenta, fetal growth restriction, birth weight, placental weight, ponderal index, placental pathology, long-term health risks
- MeSH terms
- Birth Weight, Fetal Growth Retardation, Fetus, Gestational Age, Humans, Placenta
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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