The succenturiate placenta is a morphological abnormality, the antenatal recognition of which is important as vessels connecting the main placenta with the succenturiate placenta may rupture during labor and fetal death may ensue. In addition, retention of the placental material may lead to postpartum hemorrhage.
Is Succenturiate placenta high risk?
The condition of succenturiate placenta increases the risks for prematurity, impaired fetal growth, and cesarean delivery.
What causes Succenturiate placenta?
Advanced maternal age and in vitro fertilization are risk factors for the succenturiate placenta. Other factors leading to succenturiate placentas include implantation over leiomyomas, in areas of previous surgery, in the cornu, or over the cervical os.
What does Succenturiate lobe mean?
A succenturiate lobe is a variation in placental morphology and refers to a smaller accessory placental lobe that is separate to the main disc of the placenta.
How common is Succenturiate lobe placenta?
Its overall incidence is approximately 3 per 1000 pregnancies. Most of the succenturiate lobe have vasa praevia. This placental anomaly is noted mostly in elderly pregnant females and who have undergone in vitro fertilization (IVF).
Can you have an extra piece of placenta?
Accessory placenta: A condition in which there is an extra placenta that is separate from the main placenta. Also known as a succenturiate or supernumerary placenta.
Why do I have two placentas and one baby?
It’s possible for more than one placenta to form – for example, if you are pregnant with twins or triplets. This is the most common reason to have two placentas in pregnancy. Multiple pregnancies are becoming more common due to the increase in fertility treatments and because women are having babies later in life.
What causes uterine inversion?
Etiology – Uterine inversion has been attributed to excessive cord traction and fundal pressure (Credé maneuver) during the third stage of labor, especially in the setting of a uterine atony and fundal implantation of the placenta.
What does an extra lobe on a placenta mean?
A succenturiate (accessory) lobe is a second or third placental lobe that is much smaller than the largest lobe. Unlike bipartite lobes, the smaller succenturiate lobe often has areas of infarction or atrophy.
Which type of placental attachment is most likely to give rise to a retained placenta?
Placenta adherens is the most common type of retained placenta. It occurs when the uterus, or womb, fails to contract enough to expel the placenta. Instead, the placenta remains loosely attached to the uterine wall.
What is a cupcake placenta?
Abnormally short, thick placentas (so-called cupcake placentas) have been associated with hypertension and FGR [Reference Costantini, Walker and Milligan 35 , Reference Eriksson, Kajantie and Osmond 40 ].
Is circumvallate placenta high risk?
Circumvallate placenta is associated with a higher risk of some pregnancy complications and, in some cases, can result in the loss of your baby. This condition is very rare and doesn’t always result in the loss of a pregnancy.
How many lobes does a normal placenta have?
Structure of the Mature Placenta
The maternal side of the placenta is dull and is subdivided into as many as 35 lobes. The grooves between lobes are occupied by placental septa, which arise from the decidua basalis and extend toward the basal plate.
How serious is vasa previa?
Vasa previa is very rare. It only occurs in about 1 in 2500 pregnancies. If it’s diagnosed before labor, monitored, and you have a C-section, there’s a 97% chance that your baby will be fine. Most babies who are born vaginally to mothers with vasa previa will die, which is why delivery by C-section is so important.
