Table 3.
Prevalence and Odds Ratios of Small for Gestational Age (SGA) Infant and Fetal-Placental Weight Ratio for Each Placental Pathology Group (n = 19,027).
| Group Name and Description | Group Number |
Included Phenotypes | N | Percent | SGAa |
Fetal-Placental Weight Ratiob |
|||
|---|---|---|---|---|---|---|---|---|---|
| Percent SGA |
OR | 95% CI | Mean | β (95% CI) | |||||
| Multiple high-grade pathologies (C, F, M) | 1 | 771 | 4.1% | 39.0% | 14.08 | 10.49, 18.90 | 7.77 | 0.86 (0.75, 0.96) | |
| All three high-grade pathologies (triple threat) | 1a | CFM, aCFM, ACFM | 34 | 38.2% | |||||
| High-grade fetal AND maternal vascular pathology | 1b | FM, cFM, aFM, acFM, AFM, AcFM | 113 | 48.7% | |||||
| High-grade maternal vascular pathology AND high-grade chronic inflammation | 1c | CM, CfM, aCM, aCfM, ACM, ACfM | 536 | 38.2% | |||||
| High-grade fetal vascular pathology AND high-grade chronic inflammation | 1d | CF, CFm, aCF, aCFm | 88 | 31.8% | |||||
| High-grade acute inflammation AND high-grade fetal vascular pathology (with or without chronic inflammation and/or low-grade maternal vascular pathology) | 2 | AF, AFm, AcF, AcFm, ACF, ACFm | 122 | 0.6% | 11.5% | 2.85 | 1.54, 5.26 | 7.05 | 0.01 (−0.22, 0.23) |
| High-grade fetal vascular pathology | |||||||||
| With or without low-grade acute inflammation | 3a | F, aF | 160 | 0.8% | 14.4% | 3.69 | 2.21, 6.15 | 6.97 | −0.10 (−0.30, 0.10) |
| WITH low-grade chronic inflammation AND/OR low-grade maternal vascular pathology (with or without low-grade acute inflammation) | 3b | cF, Fm, cFm, acF, aFm, acFm | 171 | 0.9% | 29.8% | 9.34 | 6.16, 14.17 | 7.22 | 0.24 (0.05, 0.44) |
| High-grade chronic inflammation | |||||||||
| With or without low-grade fetal vascular pathology | 4a | C, Cf | 654 | 3.4% | 13.5% | 3.42 | 2.43, 4.81 | 7.22 | 0.33 (0.22, 0.45) |
| WITH any acute inflammation (with or without low-grade fetal vascular pathology) | 4b | aC, aCf, AC, ACf | 719 | 3.8% | 11.0% | 2.71 | 1.92, 3.84 | 7.28 | 0.26 (0.15, 0.37) |
| WITH low-grade maternal vascular pathology (with or without low-grade fetal vascular pathology) | 4c | Cm, Cfm | 263 | 1.4% | 27.0% | 8.13 | 5.59, 11.82 | 7.50 | 0.54 (0.38, 0.70) |
| WITH low-grade maternal vascular pathology AND any acute inflammation | 4d | aCm, aCfm, ACm, ACfm | 276 | 1.5% | 19.9% | 5.47 | 3.70, 8.09 | 7.64 | 0.59 (0.43, 0.75) |
| High-grade maternal vascular pathology (with or without any acute inflammation and/or other low-grade pathology) | 5 | M, cM, fM, cfM, aM, acM, afM, acfM, AM, AcM, AfM, AcfM | 2673 | 14.0% | 30.1% | 9.46 | 7.22, 12.38 | 8.03 | 0.95 (0.87, 1.03) |
| Low-grade fetal vascular pathology OR chronic inflammation | |||||||||
| With or without low-grade acute inflammation | 6a | c, f, ac, af | 2574 | 13.5% | 9.4% | 2.29 | 1.72, 3.06 | 7.16 | 0.21 (0.13, 0.29) |
| WITH high-grade acute inflammation | 6b | Ac, Af | 917 | 4.8% | 7.8% | 1.87 | 1.32, 2.66 | 7.04 | −0.01 (−0.11, 0.09) |
| Low-grade maternal vascular pathology OR any combination of low-grade chronic inflammation and fetal vascular malperfusion | |||||||||
| Without acute inflammation | 7a | m, cm, cf, fm, cfm | 1680 | 8.8% | 18.5% | 4.97 | 3.74, 6.61 | 7.47 | 0.44 (0.36, 0.53) |
| WITH low-grade acute inflammation | 7b | am, acm, acf, afm, acfm | 1554 | 8.2% | 18.7% | 5.07 | 3.80, 6.75 | 7.52 | 0.50 (0.41, 0.58) |
| WITH high-grade acute inflammation | 7c | Am, Acm, Acf, Afm, Acfm | 924 | 4.9% | 16.0% | 4.19 | 3.07, 5.72 | 7.48 | 0.37 (0.27, 0.47) |
| Other significant pathology Acute inflammation alone | 8 | 1455 | 7.6% | 19.4% | 5.29 | 3.96, 7.05 | 7.89 | 0.88 (0.79, 0.97) | |
| High-grade acute inflammation | 9a | A | 1082 | 5.7% | 4.3% | 1.00 | 0.68, 1.47 | 6.91 | −0.17 (−0.27, −0.08) |
| Low-grade acute inflammation | 9b | a | 1630 | 8.6% | 4.9% | 1.13 | 0.81, 1.60 | 6.95 | −0.04 (−0.13, 0.04) |
| Histologically normal | 10 | 1402 | 7.4% | 4.3% | Reference | 6.87 | Reference | ||
Abbreviations: SGA – small for gestational age, OR – odds ratio, CI – confidence interval, A – high-grade acute inflammation, a – low-grade acute inflammation, C – high-grade chronic inflammation, c – low-grade chronic inflammation, F – high-grade fetal vascular malperfusion, f – low-grade fetal vascular malperfusion, M – high-grade maternal vascular malperfusion, m – low-grade maternal vascular malperfusion.
Odds ratios from logistic regression (null value is 1).
Parameter estimates (β) from linear regression (null value is 0); model adjusted for gestational age and infant sex (excludes 454 fragmented placentas).