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    Placental Examination

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    jyoti a salunkhe
    The placenta functions to provide nutrition, storage, excretion, protection, and endocrine support between the mother and fetus. It has both a fetal surface covered by amnion and umbilical cord, and a rough maternal surface divided into lobes. Examination of the placenta after delivery allows assessment of its size, weight, abnormalities, completeness of removal, and can provide insight into potential complications in future pregnancies or fetal anomalies. Key steps in examination involve observing general features, details of the membranes, blood vessels, cord insertion, and checking for issues like infections, calcification or irregular shapes.

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    Placental Examination

    Uploaded by

    jyoti a salunkhe
    1K views24 pages
    The placenta functions to provide nutrition, storage, excretion, protection, and endocrine support between the mother and fetus. It has both a fetal surface covered by amnion and umbilical cord, and a rough maternal surface divided into lobes. Examination of the placenta after delivery allows assessment of its size, weight, abnormalities, completeness of removal, and can provide insight into potential complications in future pregnancies or fetal anomalies. Key steps in examination involve observing general features, details of the membranes, blood vessels, cord insertion, and checking for issues like infections, calcification or irregular shapes.

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    The placenta functions to provide nutrition, storage, excretion, protection, and endocrine support between the mother and fetus. It has both a fetal surface covered by amnion and umbilical cord, and a rough maternal surface divided into lobes. Examination of the placenta after delivery allows assessment of its size, weight, abnormalities, completeness of removal, and can provide insight into potential complications in future pregnancies or fetal anomalies. Key steps in examination involve observing general features, details of the membranes, blood vessels, cord insertion, and checking for issues like infections, calcification or irregular shapes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    1K views24 pages

    Placental Examination

    Uploaded by

    jyoti a salunkhe
    The placenta functions to provide nutrition, storage, excretion, protection, and endocrine support between the mother and fetus. It has both a fetal surface covered by amnion and umbilical cord, and a rough maternal surface divided into lobes. Examination of the placenta after delivery allows assessment of its size, weight, abnormalities, completeness of removal, and can provide insight into potential complications in future pregnancies or fetal anomalies. Key steps in examination involve observing general features, details of the membranes, blood vessels, cord insertion, and checking for issues like infections, calcification or irregular shapes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 24

    PLACENTA EXAMINATION.

    Meaning of placenta
    • Only eutherian mammals posses
    placenta.
    Placenta is discoid because of its shape.
    Hemochorial because of direct contact
    of the chorion with the maternal blood
    &decidua .
    The placenta is attached to the uterine
    wall & establishes connection between
    the mother & fetus through umbilical
    cord.
    FUNCTIONS OF PLACENTA
    1. NUTRITION
    2. STORAGE
    3. EXCRETION
    4. PROTECTION
    5. ENDOCRINE
    GROSS ANATOMY
    • The normal placenta at term is flattened disk
    like mass with a circular or oval out line.
    • Average volume is 500ml ranges 200to900ml
    • Average weight is 500gm ranges
    200to800gm.
    • Average diameter is 15 to20cm.
    • Thickness about 2to3cm .
    • It occupies 30% of the uterine wall .
    • It contain 2 surface fetal &maternal.
    • Fetal surface
    •
    • The fetal surface is covered by the
    Smooth & glistening amnion with the
    umbilical cord
    attached at center. Branches of the
    umbilical vessels
    are visible beneath the amnion.
    Amnion can be peeled of from the
    underlying chorion.

    •
    • Maternal surface-

    • The maternal surface is rough &


    spongy ,maternal blood gives it a
    dull red color.
    The maternal surface is mapped
    out in to 15-20 lobes are called
    cotyledons by a series of
    fissures Furrows termed as sulci.
    PLACENTAL ABNORMALITIES
    • 1)LARGER &SMALLER
    • 2)EXCESSIVE INFRACT FORMATION
    • 3)EDEMA OF THE PLACENTA
    • 4)TUMORS OF PLACENTA
    • 5)SYPHILITIC PLACENTA
    • 6)SUCCENTURIATE PLACENTA
    • 7)EXTRACHORIAL PLACENTA-Circumvalate &
    placenta marginata.
    • 8)LOBULATED PLACENTA
    CORD ABNRMALITIES
    • 1)BATTLEDORE PLACENTA
    • 2)VELAMENTOUS INSERTION
    • 3)VASA PREVIA
    • 4)ABNORMAL NO OF BLOOD VESSELS
    • 5)SHORT CORD LONG CORD
    • 6)CORD LOOPING
    • 7)CORD KNOTTING
    • 8)MARKEDLY DECREASED AMOUNT OF
    WHARTONS JELLY.
    ADVANTAGES OF PLACENTA
    EXAMINATION
    • 1)TO MAKE SURE THAT PLACENTA IS
    COMPLETELY REMOVED.
    • 2)IF ANY THING MISSING MAKE FURTHER
    ACTION.
    • 3)TO REDUCE MATERNAL MORBIDITY &
    MORTALITY.
    • 4)TO FIND OUT ANY ABNORMALITIES OF
    PLACENTA SO CARE SHOULD BE TAKEN IN NEXT
    PREGNANCY.
    • 5)TO FIND OUT ANY DISEASE CONDITION.
    • 6)BY OBSERVING CORD VESSELS WE CAN FIND
    OUT CORD ABNORMALITIES.

    • 7)BY CORD ABNORMALITIES WE CAN FIND OUT


    CONGINITAL ANAMOLIES IN BABY.
    TIME &ARTICLE REQUIRED
    • IMMEDIATELY AFTER COMPLETION OF THE
    THIRD STAGE.
    • BEFORE LEAVING THE LABOUR ROOM BY
    SURGEON AS WELL AS PATIENT.
    • MACKIN TOSH
    • GLOVES
    • TAPE MEASSURE
    EXAMINATION OF PLACENTA
    • 1)GENERAL OBSERVATION
    • WEIGHT ,LENGTH, THICKNESS, CORDLENGTH,
    KNOTS OF PLACENTA.
    • 2)DETAIL EXAMINATION
    • INFRACTION Recent/old
    • LOCALIZED CALCICATIONS
    • LOBES
    • BLOOD VESSELS
    • INSERTION OF THE CORD
    • UMBILICAL VESSELS
    • MEMBRANES
    • AFTER CARE OF ARTICLE

    • RECORDING &REPORTING
    Placental Abnormalities

    Placental calcification
    Succenturiate placenta
    Bilobed placenta
    Velamentous Insertion
    Thank u & God bless me…

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