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from Section 9 - Placental Complications
Published online by Cambridge University Press: 08 April 2025
This case summarizes the management of a patient who presented for counseling 2 weeks after a stillbirth at 34 weeks’ gestation. Her pregnancy was uncomplicated until she developed prelabor rupture of membranes, leading to fetal demise. Placental pathology revealed findings suggestive of high-grade fetal vascular malperfusion, maternal vascular malperfusion, and severe ascending intrauterine infection. The most common placental abnormalities and their causes and associations are discussed as well as recommendations for further testing and future pregnancy management. Understanding placental histology following stillbirth allows for better support and preparation for future pregnancies.
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