Table 2.
Placental Histology | Total | RDSa | Pneumothorax | BPDb | AHIc | ROPd | IVHe | PHHf | Culture+Sepsis | NECg |
---|---|---|---|---|---|---|---|---|---|---|
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Total Number (percent of total) | 102 | 79 (77.5%) | 8 (7.8%) | 10 (9.8%) | 16 (15.7%) | 9 (8.8%) | 5 (4.9%) | 5 (4.9%) | 6 (5.9%) | 6 (5.9%) |
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Gestational age in weeks (mean) | 30.2 | 29.5* | 27.0* | 26.4* | 26.4* | 25.6* | 29.2 | 26.7* | 25.3* | 26.0* |
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PhysiScore (mean) | 0.236 | 0.291* | 0.718* | 0.770* | 0.726* | 0.853* | 0.364 | 0.597* | 0.909* | 0.724* |
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Placenta weight:birth weight ratio (mean) | 0.23 | 0.24 | 0.31* | 0.33* | 0.32* | 0.33* | 0.24 | 0.31* | 0.29 | 0.37* |
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Amniotic Fluid Infection Sequence | 22/102 (21.6%) | 26.6%* | 37.5% | 40.0% | 37.5% | 44.4% t | 40.0% | 40.0% | 66.7%* | 50.0% |
Fetal inflammatory response | 21/102 (20.6%) | 25.3%* | 37.5% | 30.0% | 37.5% t | 44.4% t | 40.0% | 40.0% | 50.0%* | 50.0% |
Umbilical Arteritis | 20/101 (19.8%) | 24.1% t | 37.5% | 30.0% | 37.5% t | 44.4% t | 40.0% | 40.0% | 50.0% t | 50.0% t |
≥2 Chorionic plate vessels with vasculitis | 16/99 (16.2%) | 20.5%* | 25.0% | 20.0% | 31.3% | 33.3% | 40.0% | 40.0% | 50.0% t | 33.3% |
Maternal inflammatory response | 18/102 (17.6%) | 21.5% t | 25.0% | 30.0% | 25.0% | 22.2% | 20.0% | 20.0% | 50.0% t | 33.3% |
Acute subchorionitis with abscess formation | 9/102 (8.8%) | 10.1% | 0.0% | 0.0% | 6.3% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
Subacute or necrotizing acute chorioamnionitis | 15/102 (14.7%) | 17.7% | 25.0% | 30.0% | 18.8% | 22.2% | 20.0% | 20.0% | 50.0* | 33.3% |
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Maternal malperfusion | 46/102 (45.1%) | 41.8% | 50.0% | 40.0% | 50.0% | 11.1%* | 20.0% | 20.0% | 16.7% | 66.7% |
Size ≤10th percentile | 13/101 (12.9%) | 7.7% * | 0.0% | 10.0% | 6.3% | 0.0% | 20.0% | 0.0% | 16.7% | 0.0% |
Distal villous hypoplasia | 34/102 (33.3%) | 31.6 | 37.5% | 30.0% | 37.5% | 11.1% | 0.0% | 0.0% | 0.0% | 50.0% |
≥2 Infarcts | 10/102 (9.8%) | 7.6% | 0.0% | 10.0% | 0.0% | 11.1% | 0.0% | 0.0% | 0.0% | 0.0% |
Maternal decidual vasculopathy, severe | 11/83 (13.3%) | 9.4% | 20.0% | 0.0% | 8.3% | 0.0% | 0.0% | 25.0% | 0.0% | 25.0% |
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Full thickness perivillous fibrin | 10/102 (9.8%) | 3.8% * | 0.0% | 0.0% | 0.0% | 33.3% | 0.0% | 0.0% | 0.0% | 0.0% |
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Chronic inflammation | 34/102 (33.3%) | 34.2% | 12.5% | 30.0% | 25.0% | 33.3% | 60.0% | 80.0%* | 83.3%* | 16.7% |
Chronic chorionitis and basal chronic villitis | 32/101 (31.7%) | 33.3% | 12.5% | 30.0% | 25.0% | 33.3% | 60.0% | 80.0%* | 83.3%* | 16.7% |
Parenchymal chronic villitis | 9/102 (8.8%) | 7.6% | 12.5% | 10.0% | 12.5% | 11.1% | 20.0% | 40.0% t | 16.7% | 16.7% |
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Fetal vascular obstruction | 26/102 (25.5%) | 25.3% | 37.5% | 50.0% | 31.3% | 44.4% | 0.0% | 20.0% | 0.0% | 50.0%* |
Large vessel thrombi | 11/101 (10.9%) | 11.4% | 25.0% | 30.0% t | 18.8% | 33.3% t | 0.0% | 20.0% | 0.0% | 50.0%* |
Villous damage from fetal ischemia | 17/102 (16.7%) | 16.5% | 25.0% | 30.0% | 18.8% | 22.2% | 0.0% | 0.0% | 0.0% | 33.3% |
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Marginal or velamentous cord insertion | 21/100 (21.0%) | 20.8% | 0.0% | 55.6%* | 35.7% | 50.0% | 2.0% | 20.0% | 16.7% | 25.0% |
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Large, edematous placenta | 38/102 (37.3%) | 44.3%* | 37.5% | 10.0% t | 43.8% | 33.3% | 60.0% | 40.0% | 16.7% | 50.0% |
Size ≥90th percentile | 24/101 (23.8%) | 29.5%* | 37.5% | 10.0% | 25.0% | 33.3% | 40.0% | 40.0% | 16.7% | 33.3% |
Villous edema | 23/102 (22.5%) | 26.6% t | 25.0% | 10.0% | 43.8%* | 33.3% | 40.0% | 40.0% | 16.7% | 50.0% |
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Diffuse chorionic hemosiderosis | 3/101 (3.0%) | 3.8% | 12.5% | 20.0%* | 6.3% | 11.1% | 0.0% | 0.0% | 16.7% | 16.7% |
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Nucleated red blood cells >10/10 high power fields | 29/101 (28.7%) | 28.2% | 28.6% | 50.0% | 18.8% | 33.3% | 40.0% | 20.0% | 0.0% | 50.0% |
considered statistically significant
trending p-value (between 0.050 and 0.100)
RDS: respiratory distress syndrome
BPD: moderate and severe bronchopulmonary dysplasia
AHI: acute hemodynamic instability characterized by hypotension requiring ≥3 days of pressor support or adrenal insufficiency requiring hydrocortisone
ROP: high stage (≥2) retinopathy of maturity
IVH: high grade (≥3) intraventricular hemorrhage
PHH: post-hemorrhagic hydrocephalus
NEC: necrotizing enterocolitis