Practice of Placenta Submission for Histopathological Examination, Experience of a Teaching/Tertiary Care Hospital in Saudi Arabia

被引:3
|
作者
Aljhdali, Hessa M. [1 ]
Abdullah, Layla S. [1 ]
Alhazmi, Dalia A. [2 ]
Almosallam, Ahmed M. [3 ]
Bondagji, Nabeel S. [4 ]
机构
[1] King Ahdulaziz Univ, Fac Med, Anat Pathol, Jeddah, Saudi Arabia
[2] King Abdulaziz Univ Hosp, Anat Pathol, Jeddah, Saudi Arabia
[3] King Faisal Specialist Hosp & Res Ctr, Anat Pathol, Jeddah, Saudi Arabia
[4] King Abdulaziz Univ, Fac Med, Fetomaternal Med, Obstet & Gynecol, Jeddah, Saudi Arabia
关键词
placenta; examination; indications; submission; guidelines; PATHOLOGICAL EXAMINATION; GUIDELINES; CONFORMITY;
D O I
10.7759/cureus.17364
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives The aim of this study is to determine the appropriateness of histopathologic examination of the placenta at King Abdulaziz University Hospital (KAUH), Jeddah, based on the guidelines of the College of American Pathologists (CAP). Methods It is a retrospective review of obstetric and pathologic records for all deliveries at KAUH, between January 1, 2017, and April 30, 2019. The placentae were assessed for eligibility to undergo pathologic examination. Furthermore, examined and non-examined placentae meeting the CAP criteria were compared based on their actual indications. Results There were 8,929 deliveries, of which 1,444 (16.2%) placentae met the CAP guidelines. A total of 583/1,444 placentae (40.4%; 95% confidence interval [CI] = 37.8-43) were sent for pathologic examination. Of the 7,485 placentae that did not require submission for pathological examination, as determined by the pathologist, 7,456 (99.6%; 95% CI = 99.4-99.7) were not submitted appropriately. The labor and delivery staff were more likely to submit placentae with fetal/neonatal indications rather than those with maternal indications for examination, which was statistically significant (odds ratio = 6.5; 95% CI = 5.08-8.30). Conclusion While most of the examined placentae at KAUH met the CAP guidelines, there was a substantial undersubmission of eligible placentae. Further studies are advised to reveal the reasons behind this underestimation so that correctional measures may be adopted, as placenta examination is a valuable tool to understand the risk factors and pathogenesis of deleterious maternal, neonatal, and fetal events.
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页数:6
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