Observations on vascular pattern of chorionic blood vessels of placenta

MY Sarwar, N Kumar, NK Pandey - … of Evolution of Medical and Dental …, 2013 - go.gale.com
MY Sarwar, N Kumar, NK Pandey
Journal of Evolution of Medical and Dental Sciences, 2013go.gale.com
BACKGROUND: Placenta is a choriodecidual structure develops during pregnancy
implanted on the uterine wall and carries vital functions. It is connected to the foetus through
umbilical cord. The branches of umbilical vessels that traverse along foetal surface of
placenta are referred as chorionic vessels. There are two different patterns of chorionic
vessels--Dispersal and Magistral. In the dispersal type, the umbilical vessels undergo
successive divisions with gradually diminishing caliber towards periphery while in magistral …
BACKGROUND
Placenta is a choriodecidual structure develops during pregnancy implanted on the uterine wall and carries vital functions. It is connected to the foetus through umbilical cord. The branches of umbilical vessels that traverse along foetal surface of placenta are referred as chorionic vessels. There are two different patterns of chorionic vessels--Dispersal and Magistral. In the dispersal type, the umbilical vessels undergo successive divisions with gradually diminishing caliber towards periphery while in magistral pattern the vessels traverse to the edge of placenta without appreciable decrease in diameter of vessels. The present study has been done for visualization of the pattern of chorionic vessels in placenta obtained from labour room of a tertiary care hospital in eastern Bihar, India.
MATERIALS AND METHODS
A total of one hundred and fifty (150) fresh and intact placenta of full term pregnancies collected from Obstetrics & Gynaecology department were included in the study. After washing with distilled water, removal of blood clots were done with slight digital pressure applied over arteries and vein and later on by irrigation with saline. The cut end of the umbilical cord was carefully visualized to identify the umbilical arteries and vein. Dye was injected into umbilical vessels under normal physiological pressure and diameter of chorionic blood vessels were taken at the center and periphery. Ultimately each vessel was followed and examined to observe the dispersal and magistral pattern of chorionic blood vessels of placenta.
RESULTS AND CONCLUSION
Out of the total of one hundred and fifty (150) full term placenta obtained and examined in the Anatomy department during the study period, 64% Dispersal type & 36% of Magistral type of arterial pattern of branching of chorionic vessels were observed. Vein and its tributaries presented Dispersal pattern in 60% and Magistral pattern in 40%. There is a significant relationship between the pattern of branching and weight of foetus. Reduction of uteroplacental circulation results in foetal hypoxia & IUGR. The present study aims to observe the incidence of vascular pattern of chorionic blood vessels of placenta.
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