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Re: Acute ChroioamniotisFrom: anonymous@obgyn.netWed, 14 Jul 1999 18:05:57 -0500 (CDT)
At Wed, 14 Jul 1999, Jan wrote: > >My daughter gave birth to a stillborn son(21 weeks). The microscopic >diagnosis reads"115 gm, placenta with marked acute chorioamnionitis and >thromobtic material. Focal infarction present, no atypia identified." Jan- First of all, I am very sorry about your loss. I can certainly understand your desire to try to prevent this from happening with any future pregnancies. Deciperhing a pathology report without knowing the clinical situation is very difficult. Briefly, your report showed signs of a severe infection of the placenta (afterbirth) with an infarction, which is the medical term for an area that has died off from lack of blood (think "myocardial infarction"). It *sounds* like you had a severe placental infection, but this can occur after a stillbirth, so I would be out of place guessing about this. Many things can cause a stillbirth. And, while a thorough investigation will determine the cause in 50-70% of cases, sometimes no cause is ever found. I would strongly encourage you to request a full evaluation, including a number of blood tests (see my free article on recurrent pregnancy loss) at http://home.mpinet.net/dahmd I hope that you also understand that outside of smoking crack cocaine or something similarly outrageous that you did not cause this. Miscarriages and stillbirths are unfortunately very common, and although that will not make your grief any easier, it is important to know that you were not the cause. Best wishes,
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