The placenta is the only disposable vital organ. For all but the very beginning of gestation, the placenta is essential to the baby’s survival. Abnormalities and dysfunction of this organ and its associated structures such as the cord and membranes can have dire consequences to mother and/or baby. Placentas Behaving Badly is a lively look at some of the placental pathology that matters to a midwife. We will discuss abnormal cord insertions, alloimmunization, abruption, vasa previa, and placental infarction. Because the placenta is a diary of intrauterine life, we will discuss how to examine a placenta after birth, and consider how unusual findings relate to the health of the infant.
Learning Objectives:
Objective 1: List 5 placental abnormalities or variations and the clinical significance of each;
Objective 2: Discuss the clinical significance of a short umbilical cord.;
Objective 3: Discuss how to recognize the relative age of an abruption by examining the placenta.
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