Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān (Oct 2021)

A case report of placenta fenestrate

  • Firouze Ziaee,
  • Fatemeh Zahra karimi,
  • Masoumeh Mirteimouri,
  • Elaheh Mansouri Ghezel Hesari

DOI
https://doi.org/10.22038/ijogi.2021.19221
Journal volume & issue
Vol. 24, no. 9
pp. 93 – 96

Abstract

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Introduction: One of the variants of the placenta is the placenta fenestrate. In rare cases, the central part of the placental disc is missing. In some cases, there is a real hole in the placenta. A porous placenta may be mistaken for a placental cotyledon after delivery. In the present study, a case of placenta fenestrate was reported. Case presentation: The patient was 31year old woman, G3L2, with a gestational age of 39 weeks who had complained of labor pains and referred to the emergency department of Hazrat Umm Al-Banin Gynecology Hospital. Following a normal delivery, the baby girl was born with Apgar 9-10, weighing 3780 gr and seemingly healthy. Spontaneous departure of the placenta occurred 15 minutes after birth. On examination of the placenta, the placenta was a discoid plate in the center of which there was no part of the cotyledon in the form of a hole 3 cm in diameter, complete placental membranes covered the entire surface of the placenta, and the umbilical cord was connected to the placenta as a marginal joint. Conclusion: Familiarity with a fenestrate placenta can help prevent mistake in postpartum examinations. Therefore, it is recommended to pay attention to the characteristics of different types of placenta in postpartum examination.

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