Computerized microscope morphometry of umbilical vessels from pregnancies with intrauterine growth retardation and abnormal umbilical artery Doppler.

Abstract:

:Computerized microscope morphometry was used to study cross sections from the vessels of the umbilical cord in placentas of patients with intrauterine growth retardation (IUGR) that displayed either normal or abnormal umbilical arteries (UA) Doppler flow velocity waveforms (FVW). Cords from 63 eutrophic fetuses with normal Doppler (controls), 47 IUGR fetuses with normal Doppler and 32 IUGR fetuses with abnormal Doppler underwent morphometric analysis using a highly optimized microscope environment (HOME) and "CordHOME" software. IUGR with an accompanying normal Doppler versus control showed a reduction of Wharton jelly and both the total and lumen vein areas. IUGR with an accompanying pathological Doppler showed a comparable reduction in wall thickness and areas of every vessel. These findings indicate that the hypoplastic umbilical vessels are associated with an increase in placental vascular resistance that may be the consequence of underdevelopment in response to a chronic reduction in placental blood flow.

journal_name

Hum Pathol

journal_title

Human pathology

authors

Bruch JF,Sibony O,Benali K,Challier JC,Blot P,Nessmann C

doi

10.1016/s0046-8177(97)90251-3

subject

Has Abstract

pub_date

1997-10-01 00:00:00

pages

1139-45

issue

10

eissn

0046-8177

issn

1532-8392

pii

S0046-8177(97)90251-3

journal_volume

28

pub_type

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