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November 21, 1980, Vol 244, No. 20 >
ARTICLE | November 21, 1980

Ultrasonic Diagnosis of Placental Abnormalities in Situ FREE

Charles B. Mulhern, Jr, MD; Peter H. Arger, MD; Beverly G. Coleman, MD
[+] Author Affiliations

Reprint requests to Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104 (Dr Mulhern).


JAMA. 1980;244(20):2339-2341. doi:10.1001/jama.1980.03310200069035
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References

EXAMINATION of the placenta is routinely performed by the obstetrician at the time of delivery. If any gross abnormality is observed or if the condition of the newborn warrants, the placenta is submitted for pathological evaluation. In essence, this is a retrospective analysis of the placenta. Ultrasound, however, provides a safe noninvasive method for examination of the placenta and its associated abnormalities in situ.1

This article presents representative cases demonstrating the capabilities of ultrasound in evaluating the macroscopic, antenatal features of placental disorders. The cases reported also illustrate the important role of the ultrasonographer in the antenatal diagnosis of placental abnormalities. This permits prompt institution of therapy or avoidance of other unnecessary diagnostic procedures.

As the organ of fetomaternal transfer, the placenta often reflects disorders of the fetus and mother as well as abnormalities of placental development (Table).

Materials and Methods  Commercially available, gray-scale ultrasound units provide excellent anatomic

REFERENCES

1 +
Baker ML, Dalrymple GV:  Biological effects of diagnostic ultrasound: A review . Radiology 1978;;126:479-483.
2 +
Kossoff G, Garrett WJ, Radovanovich G:  Gray scale echography in obstetrics and gynecology . Australas Radiol 1974;;18:63-111.
3 +
Dunster GD, Davies ER, Ross FGM, et al:  Placental localization: A comparison of isotopic and ultrasonic placentography . Br J Radiol 1976;;49:940-943.
4 +
Tutera G, Newman RL:  Placental localization and diagnosis of antenatal hemorrhage by ultrasonography . Obstet Gynecol 1973;;42:684-688.
5 +
Breen JL, Neubecker R, Gregori CA, et al:  Placenta accreta, increta, and per creata . Obstet Gynecol 1977;;49:43-47.
6 +
Becker DI, Wicksman RS:  Retained abdominal placenta followed by angiography and ultrasound . Radiology 1976;;119:207-208.
7 +
Leopold GR:  Diagnostic ultrasound in the detection of molar pregnancy . Radiology 1971;; 98:171-176.
8 +
Salem S, O'Malley BP, Weisbaum SD:  Ultrasound in diagnosis of hydatidiform mole . J Can Assoc Radiol 1974;;25:135-139.
9 +
King DL:  Placental ultrasonography . J Clin Ultrasound 1973;;1:21-26.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Baker ML, Dalrymple GV:  Biological effects of diagnostic ultrasound: A review . Radiology 1978;;126:479-483.
2 +
Kossoff G, Garrett WJ, Radovanovich G:  Gray scale echography in obstetrics and gynecology . Australas Radiol 1974;;18:63-111.
3 +
Dunster GD, Davies ER, Ross FGM, et al:  Placental localization: A comparison of isotopic and ultrasonic placentography . Br J Radiol 1976;;49:940-943.
4 +
Tutera G, Newman RL:  Placental localization and diagnosis of antenatal hemorrhage by ultrasonography . Obstet Gynecol 1973;;42:684-688.
5 +
Breen JL, Neubecker R, Gregori CA, et al:  Placenta accreta, increta, and per creata . Obstet Gynecol 1977;;49:43-47.
6 +
Becker DI, Wicksman RS:  Retained abdominal placenta followed by angiography and ultrasound . Radiology 1976;;119:207-208.
7 +
Leopold GR:  Diagnostic ultrasound in the detection of molar pregnancy . Radiology 1971;; 98:171-176.
8 +
Salem S, O'Malley BP, Weisbaum SD:  Ultrasound in diagnosis of hydatidiform mole . J Can Assoc Radiol 1974;;25:135-139.
9 +
King DL:  Placental ultrasonography . J Clin Ultrasound 1973;;1:21-26.

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