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. Author manuscript; available in PMC: 2017 Mar 1.
Published in final edited form as: Placenta. 2016 Jan 16;39:61–69. doi: 10.1016/j.placenta.2016.01.012

Table 2.

Premature Infant Morbidities Pair-Wise Correlated with Placental Histology

Placental Histology Total RDSa Pneumothorax BPDb AHIc ROPd IVHe PHHf Culture+Sepsis NECg

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%)

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*

PhysiScore (mean) 0.236 0.291* 0.718* 0.770* 0.726* 0.853* 0.364 0.597* 0.909* 0.724*

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*

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%

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%

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%

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%

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%

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%

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%

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%

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

t

trending p-value (between 0.050 and 0.100)

a

RDS: respiratory distress syndrome

b

BPD: moderate and severe bronchopulmonary dysplasia

c

AHI: acute hemodynamic instability characterized by hypotension requiring ≥3 days of pressor support or adrenal insufficiency requiring hydrocortisone

d

ROP: high stage (≥2) retinopathy of maturity

e

IVH: high grade (≥3) intraventricular hemorrhage

f

PHH: post-hemorrhagic hydrocephalus

g

NEC: necrotizing enterocolitis