Placental insufficiency: Difference between revisions
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{{Infobox medical condition | |||
| name = Placental insufficiency | |||
| image = [[File:Histopathology_of_placenta_with_increased_syncytial_knotting_of_chorionic_villi,_annotated.jpg|250px]] | |||
| caption = Histopathology of placenta with increased syncytial knotting of chorionic villi | |||
| field = [[Obstetrics]] | |||
| synonyms = Uteroplacental insufficiency | |||
| symptoms = [[Intrauterine growth restriction]], [[oligohydramnios]], abnormal [[fetal heart rate]] | |||
| complications = [[Preterm birth]], [[fetal hypoxia]], [[stillbirth]] | |||
| onset = During [[pregnancy]] | |||
| duration = Until delivery | |||
| causes = [[Hypertension]], [[preeclampsia]], [[diabetes mellitus]], [[smoking]], [[placental abruption]] | |||
| risks = [[Advanced maternal age]], [[multiple gestation]], [[chronic hypertension]] | |||
| diagnosis = [[Ultrasound]], [[Doppler ultrasound]], [[non-stress test]] | |||
| differential = [[Fetal growth restriction]], [[oligohydramnios]] | |||
| prevention = [[Prenatal care]], management of [[maternal health]] conditions | |||
| treatment = [[Monitoring]], [[early delivery]] if necessary | |||
| prognosis = Varies depending on severity and management | |||
| frequency = Common in complicated pregnancies | |||
}} | |||
'''Placental insufficiency''' (also known as '''uteroplacental vascular insufficiency''') is a complication of [[pregnancy]] where the [[placenta]] fails to provide adequate [[oxygen]] and [[nutrients]] to the [[fetus]]. This can lead to [[fetal growth restriction]] and other serious complications. | '''Placental insufficiency''' (also known as '''uteroplacental vascular insufficiency''') is a complication of [[pregnancy]] where the [[placenta]] fails to provide adequate [[oxygen]] and [[nutrients]] to the [[fetus]]. This can lead to [[fetal growth restriction]] and other serious complications. | ||
== Causes == | == Causes == | ||
The exact cause of placental insufficiency is not known, but several factors are believed to contribute to its development. These include [[maternal age]], [[smoking]], [[diabetes]], [[hypertension]], and [[preeclampsia]]. | The exact cause of placental insufficiency is not known, but several factors are believed to contribute to its development. These include [[maternal age]], [[smoking]], [[diabetes]], [[hypertension]], and [[preeclampsia]]. | ||
== Symptoms == | == Symptoms == | ||
Symptoms of placental insufficiency may not be noticeable in the mother. However, the condition can lead to a decrease in the size of the [[uterus]], decreased fetal movement, and a smaller than normal [[fetus]]. | Symptoms of placental insufficiency may not be noticeable in the mother. However, the condition can lead to a decrease in the size of the [[uterus]], decreased fetal movement, and a smaller than normal [[fetus]]. | ||
== Diagnosis == | == Diagnosis == | ||
Placental insufficiency is typically diagnosed through [[ultrasound]] imaging and [[Doppler ultrasound]] of the [[umbilical artery]]. Other tests may include [[amniocentesis]] and [[cordocentesis]]. | Placental insufficiency is typically diagnosed through [[ultrasound]] imaging and [[Doppler ultrasound]] of the [[umbilical artery]]. Other tests may include [[amniocentesis]] and [[cordocentesis]]. | ||
== Treatment == | == Treatment == | ||
Treatment for placental insufficiency is primarily focused on managing the underlying conditions that may be contributing to the problem. This may include medication to control [[blood pressure]], [[blood sugar]], and other conditions. In severe cases, early delivery may be necessary. | Treatment for placental insufficiency is primarily focused on managing the underlying conditions that may be contributing to the problem. This may include medication to control [[blood pressure]], [[blood sugar]], and other conditions. In severe cases, early delivery may be necessary. | ||
== Prognosis == | == Prognosis == | ||
The prognosis for placental insufficiency depends on the severity of the condition and the gestational age at which it is diagnosed. With early detection and proper management, many babies can survive and thrive. | The prognosis for placental insufficiency depends on the severity of the condition and the gestational age at which it is diagnosed. With early detection and proper management, many babies can survive and thrive. | ||
== See also == | == See also == | ||
* [[Pregnancy complications]] | * [[Pregnancy complications]] | ||
* [[Fetal growth restriction]] | * [[Fetal growth restriction]] | ||
* [[Preeclampsia]] | * [[Preeclampsia]] | ||
[[Category:Obstetrics]] | [[Category:Obstetrics]] | ||
[[Category:Complications of labour and delivery]] | [[Category:Complications of labour and delivery]] | ||
[[Category:Health issues in pregnancy]] | [[Category:Health issues in pregnancy]] | ||
{{stub}} | {{stub}} | ||
Latest revision as of 06:32, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Placental insufficiency | |
|---|---|
| |
| Synonyms | Uteroplacental insufficiency |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Intrauterine growth restriction, oligohydramnios, abnormal fetal heart rate |
| Complications | Preterm birth, fetal hypoxia, stillbirth |
| Onset | During pregnancy |
| Duration | Until delivery |
| Types | N/A |
| Causes | Hypertension, preeclampsia, diabetes mellitus, smoking, placental abruption |
| Risks | Advanced maternal age, multiple gestation, chronic hypertension |
| Diagnosis | Ultrasound, Doppler ultrasound, non-stress test |
| Differential diagnosis | Fetal growth restriction, oligohydramnios |
| Prevention | Prenatal care, management of maternal health conditions |
| Treatment | Monitoring, early delivery if necessary |
| Medication | N/A |
| Prognosis | Varies depending on severity and management |
| Frequency | Common in complicated pregnancies |
| Deaths | N/A |
Placental insufficiency (also known as uteroplacental vascular insufficiency) is a complication of pregnancy where the placenta fails to provide adequate oxygen and nutrients to the fetus. This can lead to fetal growth restriction and other serious complications.
Causes[edit]
The exact cause of placental insufficiency is not known, but several factors are believed to contribute to its development. These include maternal age, smoking, diabetes, hypertension, and preeclampsia.
Symptoms[edit]
Symptoms of placental insufficiency may not be noticeable in the mother. However, the condition can lead to a decrease in the size of the uterus, decreased fetal movement, and a smaller than normal fetus.
Diagnosis[edit]
Placental insufficiency is typically diagnosed through ultrasound imaging and Doppler ultrasound of the umbilical artery. Other tests may include amniocentesis and cordocentesis.
Treatment[edit]
Treatment for placental insufficiency is primarily focused on managing the underlying conditions that may be contributing to the problem. This may include medication to control blood pressure, blood sugar, and other conditions. In severe cases, early delivery may be necessary.
Prognosis[edit]
The prognosis for placental insufficiency depends on the severity of the condition and the gestational age at which it is diagnosed. With early detection and proper management, many babies can survive and thrive.
