Table 3.
Summary of published findings on morphological changes in the villous membrane of peripheral villi found in cases of PE with and without IUGR. Changes are with respect to placentas from control (uncomplicated) pregnancies
| Measures | Case Types | Natures of change | References | Comments |
|---|---|---|---|---|
| Surface area of capillaries | IUGR and PE + IUGR | Decrease | 2,5,6,8,9,16,18,22,23, present | Some supposedly PE may be PE + IUGR |
| PE | NS | 4,16,18,22, present | ||
| Volume of trophoblast | IUGR and PE + IUGR | Decrease | 2,5,6,8,18 | |
| PE | NS | 18 | ||
| Surface of trophoblast | IUGR and PE + IUGR | Decrease | 2,3,5,6,8,9,16,18,22,23, present | Some supposedly PE may be PE + IUGR |
| PE | NS | |||
| Number of CT nuclei | IUGR and PE + IUGR | Decrease | 2,5 | |
| PE | NS | 4 | ||
| Number of ST nuclei | IUGR and PE + IUGR | Decrease | 2,5 | |
| PE | NS | 4 | ||
| Thickness of trophoblast | IUGR and PE + IUGR | Increase or NS | 18 | Arithmetic mean |
| Thickness of basal lamina | IUGR and PE + IUGR | Increase | 1,10,17,20 | Worse when IUGR is with ARED |
| Thickness of villous membrane | IUGR and PE + IUGR | NS or decrease | 16,18 | Arithmetic and harmonic means |
| PE | NS | present | Arithmetic and harmonic mean | |
| CT proliferation rate | IUGR and PE + IUGR | Increase or NS or decrease | 1,7,10,12,14,17 | Some IUGR with ARED. Nature of change influenced by method and way in which rate is expressed |
| PE | Increase or NS | 7,21 | ||
| ST differentiation/loss rates | IUGR and PE + IUGR | Increase or NS | 1,11,13,15,19,24,25,26 | Methods and choice of rate vary |
| PE | Increase | 19,21,24,26,27 | Increase may vary between early and late onset |
NS indicates no significant change; ARED is absent or reversed end-diastolic flow in umbilical arteries. References: 1. Jones & Fox (1980); 2. Teasdale (1984); 3. Boyd & Scott (1985); 4. Teasdale (1985); 5. Teasdale (1987); 6. Pivalizza et al. (1990); 7. Arnholdt et al. (1991); 8. Jackson et al. (1995); 9. Burton et al. (1996); 10. Macara et al. (1996); 11. Smith et al. (1997); 12. Smith et al. (1998); 13. Erel et al. (2001); 14. Chen et al. (2002); 15. Ishihara et al. (2002); 16. Ansari et al. (2003); 17. Madazli et al. (2003); 18. Mayhew et al. (2003a); 19. Austgulen et al. (2004); 20. Battistelli et al. (2004); 21. Huppertz & Kingdom (2004); 22. Mayhew et al. (2004c); 23. Egbor et al. (2006); 24. Goswami et al. (2006); 25. Axt et al. (1999); 26. Allaire et al. (2000); 27. Johansen et al. (1999).