Re: Acute chorionamnionitis

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• Reply: Marisa: "Re: Acute chorionamnionitis"

I'm so sorry for your loss

A test on my placenta reveals >acute chorionamnionitis.

recent infection of hte fetal membranes

Please explain in layman's terms the pathology >report and what caused this and what I can do to prevent this from
>recurring in my future pregnancies..
>"..discoid placenta..weighing 350 gms..eccentrically located umbilical
>cord..

placenta shaped like a saucer -- normal. 350 gms is higher than average placental wieght at this point -- it's usually this size closer to 30 weeks. Cord is inserted into the placenta a bit off center, not a big deal.

fetal surface is blue gray with easily stripped off membrane and >anastomosing blood vessels. the maternal surface is red brown and
>complete. serial sections show no infarcts..blood clots..

all normal

show varizised >chorionic villi some of which are vascular while others are lined by a
>single layer of trophoblasts. the chorion and amnion are infiltrated by
>acute inflammatory cells.

There is infection, with lots of white cells present in the two layers of the membranes

the umbilical cord is unremarkable.

The whole picture points to infection -- if your membranes were ruptured, this could account for these findings, even if you did not have an infection before you went into labor. In fact, tha lack of "chronic inflammation" in hte report suggests you did not have a longstanding infection >
>Thank you

--
M. Kelly Shanahan, MD, FACOG
S. LAke Tahoe, CA

This post is for educational purposes only and does not construe a doctor-patient relationship. It does not take the place of a consultation with your own doctor.

***private e-mails will NOT be answered -- or even read. Please do NOT send a private e-mail as it interferes with the very limited time I have with my own family!!***

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