The Stillbirth Collaborative Research Network neuropathologic examination protocol.

Abstract:

:We describe the neuropathologic procedure utilized in the Stillbirth Collaborative Research Network (SCRN), focusing on the examination of central nervous system (CNS) in stillbirth (SB). The SCRN was organized to perform a case-control study to determine the scope and causes of SB. Pathologists at all the participating centers agreed on and used the same standardized neuropathologic techniques. Standardized sections were taken and detailed data were collected. Fresh brain tissue was saved for investigative purposes. A total of 663 women with SB were enrolled into the case-control study: 620 delivered a single stillborn, 42 delivered twins, and 1 delivered triplets. Of the 560 (84.5%) who consented to postmortem examination, 465 (70.1%) also gave consent to the examination of the CNS. In the 440 stillborn infants in whom CNS examination was possible, 248 (56.4%) of the brains were intact, 72 were fragmented (16.4%), and 120 (27.3%) were liquefied. In summary, this is the largest prospective study dedicated to investigate the causes of SB and collect essential information and biological samples in the United States. A protocol for neuropathologic examination was instituted, and a brain tissue repository was created to provide samples and related data for future investigations.

journal_name

Am J Perinatol

authors

Pinar H,Koch MA,Hawkins H,Heim-Hall J,Shehata B,Thorsten VR,Chin S,Willinger M,dela Monte S

doi

10.1055/s-0031-1284229

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

793-802

issue

10

eissn

0735-1631

issn

1098-8785

journal_volume

28

pub_type

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