Criteria for placental examination for obstetrical and neonatal providers
Pathologic examination of the placenta can provide insight into likely (and unlikely) causes of antepartum and intrapartum events, diagnoses with urgent clinical relevance, prognostic information for mother and infant, support for practice evaluation and improvement, and insight into advancing the s...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Roberts, Drucilla J. [verfasserIn] Baergen, Rebecca N. [verfasserIn] Boyd, Theonia K. [verfasserIn] Carreon, Chrystalle Katte [verfasserIn] Duncan, Virginia E. [verfasserIn] Ernst, Linda M. [verfasserIn] Faye-Petersen, Ona M. [verfasserIn] Folkins, Ann K. [verfasserIn] Hecht, Jonathon L. [verfasserIn] Heerema-McKenney, Amy [verfasserIn] Heller, Debra S. [verfasserIn] Linn, Rebecca L. [verfasserIn] Polizzano, Carolyn [verfasserIn] Ravishankar, Sanjita [verfasserIn] Redline, Raymond W. [verfasserIn] Salafia, Carolyn M. [verfasserIn] Torous, Vanda F. [verfasserIn] Castro, Eumenia C. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2022 |
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| Schlagwörter: |
critical values in placental pathology guidelines for placental pathologic examination |
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| Übergeordnetes Werk: |
Enthalten in: American journal of obstetrics and gynecology - Orlando, Fla. : Elsevier, 1921, 228, Seite 497-508.e4 |
|---|---|
| Übergeordnetes Werk: |
volume:228 ; pages:497-508.e4 |
| DOI / URN: |
10.1016/j.ajog.2022.12.017 |
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| 520 | |a Pathologic examination of the placenta can provide insight into likely (and unlikely) causes of antepartum and intrapartum events, diagnoses with urgent clinical relevance, prognostic information for mother and infant, support for practice evaluation and improvement, and insight into advancing the sciences of obstetrics and neonatology. Although it is true that not all placentas require pathologic examination (although alternative opinions have been expressed), prioritization of placentas for pathologic examination should be based on vetted indications such as maternal comorbidities or pregnancy complications in which placental pathology is thought to be useful for maternal or infant care, understanding pathophysiology, or practice modifications. Herein we provide placental triage criteria for the obstetrical and neonatal provider based on publications and expert opinion of 16 placental pathologists and a pathologists’ assistant, formulated using a modified Delphi approach. These criteria include indications in which placental pathology has clinical relevance, such as pregnancy loss, maternal infection, suspected abruption, fetal growth restriction, preterm birth, nonreassuring fetal heart testing requiring urgent delivery, preeclampsia with severe features, or neonates with early evidence of multiorgan system failure including neurologic compromise. We encourage a focused gross examination by the provider or an attendant at delivery for all placentas and provide guidance for this examination. We recommend that any placenta that is abnormal on gross examination undergo a complete pathology examination. In addition, we suggest practice criteria for placental pathology services, including a list of critical values to be used by the relevant provider. We hope that these sets of triage indications, criteria, and practice suggestions will facilitate appropriate submission of placentas for pathologic examination and improve its relevance to clinical care. | ||
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| 650 | 4 | |a guidelines for placental pathologic examination | |
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| 650 | 4 | |a placental gross examination | |
| 650 | 4 | |a placental handling | |
| 650 | 4 | |a placental pathology | |
| 650 | 4 | |a placental triage | |
| 700 | 1 | |a Baergen, Rebecca N. |e verfasserin |4 aut | |
| 700 | 1 | |a Boyd, Theonia K. |e verfasserin |4 aut | |
| 700 | 1 | |a Carreon, Chrystalle Katte |e verfasserin |4 aut | |
| 700 | 1 | |a Duncan, Virginia E. |e verfasserin |4 aut | |
| 700 | 1 | |a Ernst, Linda M. |e verfasserin |4 aut | |
| 700 | 1 | |a Faye-Petersen, Ona M. |e verfasserin |4 aut | |
| 700 | 1 | |a Folkins, Ann K. |e verfasserin |4 aut | |
| 700 | 1 | |a Hecht, Jonathon L. |e verfasserin |4 aut | |
| 700 | 1 | |a Heerema-McKenney, Amy |e verfasserin |4 aut | |
| 700 | 1 | |a Heller, Debra S. |e verfasserin |4 aut | |
| 700 | 1 | |a Linn, Rebecca L. |e verfasserin |4 aut | |
| 700 | 1 | |a Polizzano, Carolyn |e verfasserin |4 aut | |
| 700 | 1 | |a Ravishankar, Sanjita |e verfasserin |4 aut | |
| 700 | 1 | |a Redline, Raymond W. |e verfasserin |4 aut | |
| 700 | 1 | |a Salafia, Carolyn M. |e verfasserin |4 aut | |
| 700 | 1 | |a Torous, Vanda F. |e verfasserin |4 aut | |
| 700 | 1 | |a Castro, Eumenia C. |e verfasserin |4 aut | |
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10.1016/j.ajog.2022.12.017 doi (DE-627)ELV009602216 (ELSEVIER)S0002-9378(22)02295-5 DE-627 ger DE-627 rda eng 610 VZ 44.92 bkl Roberts, Drucilla J. verfasserin (orcid)0000-0002-9104-6674 aut Criteria for placental examination for obstetrical and neonatal providers 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Pathologic examination of the placenta can provide insight into likely (and unlikely) causes of antepartum and intrapartum events, diagnoses with urgent clinical relevance, prognostic information for mother and infant, support for practice evaluation and improvement, and insight into advancing the sciences of obstetrics and neonatology. Although it is true that not all placentas require pathologic examination (although alternative opinions have been expressed), prioritization of placentas for pathologic examination should be based on vetted indications such as maternal comorbidities or pregnancy complications in which placental pathology is thought to be useful for maternal or infant care, understanding pathophysiology, or practice modifications. Herein we provide placental triage criteria for the obstetrical and neonatal provider based on publications and expert opinion of 16 placental pathologists and a pathologists’ assistant, formulated using a modified Delphi approach. These criteria include indications in which placental pathology has clinical relevance, such as pregnancy loss, maternal infection, suspected abruption, fetal growth restriction, preterm birth, nonreassuring fetal heart testing requiring urgent delivery, preeclampsia with severe features, or neonates with early evidence of multiorgan system failure including neurologic compromise. We encourage a focused gross examination by the provider or an attendant at delivery for all placentas and provide guidance for this examination. We recommend that any placenta that is abnormal on gross examination undergo a complete pathology examination. In addition, we suggest practice criteria for placental pathology services, including a list of critical values to be used by the relevant provider. We hope that these sets of triage indications, criteria, and practice suggestions will facilitate appropriate submission of placentas for pathologic examination and improve its relevance to clinical care. critical values in placental pathology guidelines for placental pathologic examination indications for placental examination placental diseases placental gross examination placental handling placental pathology placental triage Baergen, Rebecca N. verfasserin aut Boyd, Theonia K. verfasserin aut Carreon, Chrystalle Katte verfasserin aut Duncan, Virginia E. verfasserin aut Ernst, Linda M. verfasserin aut Faye-Petersen, Ona M. verfasserin aut Folkins, Ann K. verfasserin aut Hecht, Jonathon L. verfasserin aut Heerema-McKenney, Amy verfasserin aut Heller, Debra S. verfasserin aut Linn, Rebecca L. verfasserin aut Polizzano, Carolyn verfasserin aut Ravishankar, Sanjita verfasserin aut Redline, Raymond W. verfasserin aut Salafia, Carolyn M. verfasserin aut Torous, Vanda F. verfasserin aut Castro, Eumenia C. verfasserin aut Enthalten in American journal of obstetrics and gynecology Orlando, Fla. : Elsevier, 1921 228, Seite 497-508.e4 Online-Ressource (DE-627)313040419 (DE-600)2003357-6 (DE-576)090883772 1097-6868 nnns volume:228 pages:497-508.e4 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.92 Gynäkologie VZ AR 228 497-508.e4 |
| spelling |
10.1016/j.ajog.2022.12.017 doi (DE-627)ELV009602216 (ELSEVIER)S0002-9378(22)02295-5 DE-627 ger DE-627 rda eng 610 VZ 44.92 bkl Roberts, Drucilla J. verfasserin (orcid)0000-0002-9104-6674 aut Criteria for placental examination for obstetrical and neonatal providers 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Pathologic examination of the placenta can provide insight into likely (and unlikely) causes of antepartum and intrapartum events, diagnoses with urgent clinical relevance, prognostic information for mother and infant, support for practice evaluation and improvement, and insight into advancing the sciences of obstetrics and neonatology. Although it is true that not all placentas require pathologic examination (although alternative opinions have been expressed), prioritization of placentas for pathologic examination should be based on vetted indications such as maternal comorbidities or pregnancy complications in which placental pathology is thought to be useful for maternal or infant care, understanding pathophysiology, or practice modifications. Herein we provide placental triage criteria for the obstetrical and neonatal provider based on publications and expert opinion of 16 placental pathologists and a pathologists’ assistant, formulated using a modified Delphi approach. These criteria include indications in which placental pathology has clinical relevance, such as pregnancy loss, maternal infection, suspected abruption, fetal growth restriction, preterm birth, nonreassuring fetal heart testing requiring urgent delivery, preeclampsia with severe features, or neonates with early evidence of multiorgan system failure including neurologic compromise. We encourage a focused gross examination by the provider or an attendant at delivery for all placentas and provide guidance for this examination. We recommend that any placenta that is abnormal on gross examination undergo a complete pathology examination. In addition, we suggest practice criteria for placental pathology services, including a list of critical values to be used by the relevant provider. We hope that these sets of triage indications, criteria, and practice suggestions will facilitate appropriate submission of placentas for pathologic examination and improve its relevance to clinical care. critical values in placental pathology guidelines for placental pathologic examination indications for placental examination placental diseases placental gross examination placental handling placental pathology placental triage Baergen, Rebecca N. verfasserin aut Boyd, Theonia K. verfasserin aut Carreon, Chrystalle Katte verfasserin aut Duncan, Virginia E. verfasserin aut Ernst, Linda M. verfasserin aut Faye-Petersen, Ona M. verfasserin aut Folkins, Ann K. verfasserin aut Hecht, Jonathon L. verfasserin aut Heerema-McKenney, Amy verfasserin aut Heller, Debra S. verfasserin aut Linn, Rebecca L. verfasserin aut Polizzano, Carolyn verfasserin aut Ravishankar, Sanjita verfasserin aut Redline, Raymond W. verfasserin aut Salafia, Carolyn M. verfasserin aut Torous, Vanda F. verfasserin aut Castro, Eumenia C. verfasserin aut Enthalten in American journal of obstetrics and gynecology Orlando, Fla. : Elsevier, 1921 228, Seite 497-508.e4 Online-Ressource (DE-627)313040419 (DE-600)2003357-6 (DE-576)090883772 1097-6868 nnns volume:228 pages:497-508.e4 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.92 Gynäkologie VZ AR 228 497-508.e4 |
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10.1016/j.ajog.2022.12.017 doi (DE-627)ELV009602216 (ELSEVIER)S0002-9378(22)02295-5 DE-627 ger DE-627 rda eng 610 VZ 44.92 bkl Roberts, Drucilla J. verfasserin (orcid)0000-0002-9104-6674 aut Criteria for placental examination for obstetrical and neonatal providers 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Pathologic examination of the placenta can provide insight into likely (and unlikely) causes of antepartum and intrapartum events, diagnoses with urgent clinical relevance, prognostic information for mother and infant, support for practice evaluation and improvement, and insight into advancing the sciences of obstetrics and neonatology. Although it is true that not all placentas require pathologic examination (although alternative opinions have been expressed), prioritization of placentas for pathologic examination should be based on vetted indications such as maternal comorbidities or pregnancy complications in which placental pathology is thought to be useful for maternal or infant care, understanding pathophysiology, or practice modifications. Herein we provide placental triage criteria for the obstetrical and neonatal provider based on publications and expert opinion of 16 placental pathologists and a pathologists’ assistant, formulated using a modified Delphi approach. These criteria include indications in which placental pathology has clinical relevance, such as pregnancy loss, maternal infection, suspected abruption, fetal growth restriction, preterm birth, nonreassuring fetal heart testing requiring urgent delivery, preeclampsia with severe features, or neonates with early evidence of multiorgan system failure including neurologic compromise. We encourage a focused gross examination by the provider or an attendant at delivery for all placentas and provide guidance for this examination. We recommend that any placenta that is abnormal on gross examination undergo a complete pathology examination. In addition, we suggest practice criteria for placental pathology services, including a list of critical values to be used by the relevant provider. We hope that these sets of triage indications, criteria, and practice suggestions will facilitate appropriate submission of placentas for pathologic examination and improve its relevance to clinical care. critical values in placental pathology guidelines for placental pathologic examination indications for placental examination placental diseases placental gross examination placental handling placental pathology placental triage Baergen, Rebecca N. verfasserin aut Boyd, Theonia K. verfasserin aut Carreon, Chrystalle Katte verfasserin aut Duncan, Virginia E. verfasserin aut Ernst, Linda M. verfasserin aut Faye-Petersen, Ona M. verfasserin aut Folkins, Ann K. verfasserin aut Hecht, Jonathon L. verfasserin aut Heerema-McKenney, Amy verfasserin aut Heller, Debra S. verfasserin aut Linn, Rebecca L. verfasserin aut Polizzano, Carolyn verfasserin aut Ravishankar, Sanjita verfasserin aut Redline, Raymond W. verfasserin aut Salafia, Carolyn M. verfasserin aut Torous, Vanda F. verfasserin aut Castro, Eumenia C. verfasserin aut Enthalten in American journal of obstetrics and gynecology Orlando, Fla. : Elsevier, 1921 228, Seite 497-508.e4 Online-Ressource (DE-627)313040419 (DE-600)2003357-6 (DE-576)090883772 1097-6868 nnns volume:228 pages:497-508.e4 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.92 Gynäkologie VZ AR 228 497-508.e4 |
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10.1016/j.ajog.2022.12.017 doi (DE-627)ELV009602216 (ELSEVIER)S0002-9378(22)02295-5 DE-627 ger DE-627 rda eng 610 VZ 44.92 bkl Roberts, Drucilla J. verfasserin (orcid)0000-0002-9104-6674 aut Criteria for placental examination for obstetrical and neonatal providers 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Pathologic examination of the placenta can provide insight into likely (and unlikely) causes of antepartum and intrapartum events, diagnoses with urgent clinical relevance, prognostic information for mother and infant, support for practice evaluation and improvement, and insight into advancing the sciences of obstetrics and neonatology. Although it is true that not all placentas require pathologic examination (although alternative opinions have been expressed), prioritization of placentas for pathologic examination should be based on vetted indications such as maternal comorbidities or pregnancy complications in which placental pathology is thought to be useful for maternal or infant care, understanding pathophysiology, or practice modifications. Herein we provide placental triage criteria for the obstetrical and neonatal provider based on publications and expert opinion of 16 placental pathologists and a pathologists’ assistant, formulated using a modified Delphi approach. These criteria include indications in which placental pathology has clinical relevance, such as pregnancy loss, maternal infection, suspected abruption, fetal growth restriction, preterm birth, nonreassuring fetal heart testing requiring urgent delivery, preeclampsia with severe features, or neonates with early evidence of multiorgan system failure including neurologic compromise. We encourage a focused gross examination by the provider or an attendant at delivery for all placentas and provide guidance for this examination. We recommend that any placenta that is abnormal on gross examination undergo a complete pathology examination. In addition, we suggest practice criteria for placental pathology services, including a list of critical values to be used by the relevant provider. We hope that these sets of triage indications, criteria, and practice suggestions will facilitate appropriate submission of placentas for pathologic examination and improve its relevance to clinical care. critical values in placental pathology guidelines for placental pathologic examination indications for placental examination placental diseases placental gross examination placental handling placental pathology placental triage Baergen, Rebecca N. verfasserin aut Boyd, Theonia K. verfasserin aut Carreon, Chrystalle Katte verfasserin aut Duncan, Virginia E. verfasserin aut Ernst, Linda M. verfasserin aut Faye-Petersen, Ona M. verfasserin aut Folkins, Ann K. verfasserin aut Hecht, Jonathon L. verfasserin aut Heerema-McKenney, Amy verfasserin aut Heller, Debra S. verfasserin aut Linn, Rebecca L. verfasserin aut Polizzano, Carolyn verfasserin aut Ravishankar, Sanjita verfasserin aut Redline, Raymond W. verfasserin aut Salafia, Carolyn M. verfasserin aut Torous, Vanda F. verfasserin aut Castro, Eumenia C. verfasserin aut Enthalten in American journal of obstetrics and gynecology Orlando, Fla. : Elsevier, 1921 228, Seite 497-508.e4 Online-Ressource (DE-627)313040419 (DE-600)2003357-6 (DE-576)090883772 1097-6868 nnns volume:228 pages:497-508.e4 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.92 Gynäkologie VZ AR 228 497-508.e4 |
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10.1016/j.ajog.2022.12.017 doi (DE-627)ELV009602216 (ELSEVIER)S0002-9378(22)02295-5 DE-627 ger DE-627 rda eng 610 VZ 44.92 bkl Roberts, Drucilla J. verfasserin (orcid)0000-0002-9104-6674 aut Criteria for placental examination for obstetrical and neonatal providers 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Pathologic examination of the placenta can provide insight into likely (and unlikely) causes of antepartum and intrapartum events, diagnoses with urgent clinical relevance, prognostic information for mother and infant, support for practice evaluation and improvement, and insight into advancing the sciences of obstetrics and neonatology. Although it is true that not all placentas require pathologic examination (although alternative opinions have been expressed), prioritization of placentas for pathologic examination should be based on vetted indications such as maternal comorbidities or pregnancy complications in which placental pathology is thought to be useful for maternal or infant care, understanding pathophysiology, or practice modifications. Herein we provide placental triage criteria for the obstetrical and neonatal provider based on publications and expert opinion of 16 placental pathologists and a pathologists’ assistant, formulated using a modified Delphi approach. These criteria include indications in which placental pathology has clinical relevance, such as pregnancy loss, maternal infection, suspected abruption, fetal growth restriction, preterm birth, nonreassuring fetal heart testing requiring urgent delivery, preeclampsia with severe features, or neonates with early evidence of multiorgan system failure including neurologic compromise. We encourage a focused gross examination by the provider or an attendant at delivery for all placentas and provide guidance for this examination. We recommend that any placenta that is abnormal on gross examination undergo a complete pathology examination. In addition, we suggest practice criteria for placental pathology services, including a list of critical values to be used by the relevant provider. We hope that these sets of triage indications, criteria, and practice suggestions will facilitate appropriate submission of placentas for pathologic examination and improve its relevance to clinical care. critical values in placental pathology guidelines for placental pathologic examination indications for placental examination placental diseases placental gross examination placental handling placental pathology placental triage Baergen, Rebecca N. verfasserin aut Boyd, Theonia K. verfasserin aut Carreon, Chrystalle Katte verfasserin aut Duncan, Virginia E. verfasserin aut Ernst, Linda M. verfasserin aut Faye-Petersen, Ona M. verfasserin aut Folkins, Ann K. verfasserin aut Hecht, Jonathon L. verfasserin aut Heerema-McKenney, Amy verfasserin aut Heller, Debra S. verfasserin aut Linn, Rebecca L. verfasserin aut Polizzano, Carolyn verfasserin aut Ravishankar, Sanjita verfasserin aut Redline, Raymond W. verfasserin aut Salafia, Carolyn M. verfasserin aut Torous, Vanda F. verfasserin aut Castro, Eumenia C. verfasserin aut Enthalten in American journal of obstetrics and gynecology Orlando, Fla. : Elsevier, 1921 228, Seite 497-508.e4 Online-Ressource (DE-627)313040419 (DE-600)2003357-6 (DE-576)090883772 1097-6868 nnns volume:228 pages:497-508.e4 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.92 Gynäkologie VZ AR 228 497-508.e4 |
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Enthalten in American journal of obstetrics and gynecology 228, Seite 497-508.e4 volume:228 pages:497-508.e4 |
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Roberts, Drucilla J. @@aut@@ Baergen, Rebecca N. @@aut@@ Boyd, Theonia K. @@aut@@ Carreon, Chrystalle Katte @@aut@@ Duncan, Virginia E. @@aut@@ Ernst, Linda M. @@aut@@ Faye-Petersen, Ona M. @@aut@@ Folkins, Ann K. @@aut@@ Hecht, Jonathon L. @@aut@@ Heerema-McKenney, Amy @@aut@@ Heller, Debra S. @@aut@@ Linn, Rebecca L. @@aut@@ Polizzano, Carolyn @@aut@@ Ravishankar, Sanjita @@aut@@ Redline, Raymond W. @@aut@@ Salafia, Carolyn M. @@aut@@ Torous, Vanda F. @@aut@@ Castro, Eumenia C. @@aut@@ |
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Roberts, Drucilla J. |
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Roberts, Drucilla J. ddc 610 bkl 44.92 misc critical values in placental pathology misc guidelines for placental pathologic examination misc indications for placental examination misc placental diseases misc placental gross examination misc placental handling misc placental pathology misc placental triage Criteria for placental examination for obstetrical and neonatal providers |
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Roberts, Drucilla J. Baergen, Rebecca N. Boyd, Theonia K. Carreon, Chrystalle Katte Duncan, Virginia E. Ernst, Linda M. Faye-Petersen, Ona M. Folkins, Ann K. Hecht, Jonathon L. Heerema-McKenney, Amy Heller, Debra S. Linn, Rebecca L. Polizzano, Carolyn Ravishankar, Sanjita Redline, Raymond W. Salafia, Carolyn M. Torous, Vanda F. Castro, Eumenia C. |
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criteria for placental examination for obstetrical and neonatal providers |
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Criteria for placental examination for obstetrical and neonatal providers |
| abstract |
Pathologic examination of the placenta can provide insight into likely (and unlikely) causes of antepartum and intrapartum events, diagnoses with urgent clinical relevance, prognostic information for mother and infant, support for practice evaluation and improvement, and insight into advancing the sciences of obstetrics and neonatology. Although it is true that not all placentas require pathologic examination (although alternative opinions have been expressed), prioritization of placentas for pathologic examination should be based on vetted indications such as maternal comorbidities or pregnancy complications in which placental pathology is thought to be useful for maternal or infant care, understanding pathophysiology, or practice modifications. Herein we provide placental triage criteria for the obstetrical and neonatal provider based on publications and expert opinion of 16 placental pathologists and a pathologists’ assistant, formulated using a modified Delphi approach. These criteria include indications in which placental pathology has clinical relevance, such as pregnancy loss, maternal infection, suspected abruption, fetal growth restriction, preterm birth, nonreassuring fetal heart testing requiring urgent delivery, preeclampsia with severe features, or neonates with early evidence of multiorgan system failure including neurologic compromise. We encourage a focused gross examination by the provider or an attendant at delivery for all placentas and provide guidance for this examination. We recommend that any placenta that is abnormal on gross examination undergo a complete pathology examination. In addition, we suggest practice criteria for placental pathology services, including a list of critical values to be used by the relevant provider. We hope that these sets of triage indications, criteria, and practice suggestions will facilitate appropriate submission of placentas for pathologic examination and improve its relevance to clinical care. |
| abstractGer |
Pathologic examination of the placenta can provide insight into likely (and unlikely) causes of antepartum and intrapartum events, diagnoses with urgent clinical relevance, prognostic information for mother and infant, support for practice evaluation and improvement, and insight into advancing the sciences of obstetrics and neonatology. Although it is true that not all placentas require pathologic examination (although alternative opinions have been expressed), prioritization of placentas for pathologic examination should be based on vetted indications such as maternal comorbidities or pregnancy complications in which placental pathology is thought to be useful for maternal or infant care, understanding pathophysiology, or practice modifications. Herein we provide placental triage criteria for the obstetrical and neonatal provider based on publications and expert opinion of 16 placental pathologists and a pathologists’ assistant, formulated using a modified Delphi approach. These criteria include indications in which placental pathology has clinical relevance, such as pregnancy loss, maternal infection, suspected abruption, fetal growth restriction, preterm birth, nonreassuring fetal heart testing requiring urgent delivery, preeclampsia with severe features, or neonates with early evidence of multiorgan system failure including neurologic compromise. We encourage a focused gross examination by the provider or an attendant at delivery for all placentas and provide guidance for this examination. We recommend that any placenta that is abnormal on gross examination undergo a complete pathology examination. In addition, we suggest practice criteria for placental pathology services, including a list of critical values to be used by the relevant provider. We hope that these sets of triage indications, criteria, and practice suggestions will facilitate appropriate submission of placentas for pathologic examination and improve its relevance to clinical care. |
| abstract_unstemmed |
Pathologic examination of the placenta can provide insight into likely (and unlikely) causes of antepartum and intrapartum events, diagnoses with urgent clinical relevance, prognostic information for mother and infant, support for practice evaluation and improvement, and insight into advancing the sciences of obstetrics and neonatology. Although it is true that not all placentas require pathologic examination (although alternative opinions have been expressed), prioritization of placentas for pathologic examination should be based on vetted indications such as maternal comorbidities or pregnancy complications in which placental pathology is thought to be useful for maternal or infant care, understanding pathophysiology, or practice modifications. Herein we provide placental triage criteria for the obstetrical and neonatal provider based on publications and expert opinion of 16 placental pathologists and a pathologists’ assistant, formulated using a modified Delphi approach. These criteria include indications in which placental pathology has clinical relevance, such as pregnancy loss, maternal infection, suspected abruption, fetal growth restriction, preterm birth, nonreassuring fetal heart testing requiring urgent delivery, preeclampsia with severe features, or neonates with early evidence of multiorgan system failure including neurologic compromise. We encourage a focused gross examination by the provider or an attendant at delivery for all placentas and provide guidance for this examination. We recommend that any placenta that is abnormal on gross examination undergo a complete pathology examination. In addition, we suggest practice criteria for placental pathology services, including a list of critical values to be used by the relevant provider. We hope that these sets of triage indications, criteria, and practice suggestions will facilitate appropriate submission of placentas for pathologic examination and improve its relevance to clinical care. |
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Baergen, Rebecca N. Boyd, Theonia K. Carreon, Chrystalle Katte Duncan, Virginia E. Ernst, Linda M. Faye-Petersen, Ona M. Folkins, Ann K. Hecht, Jonathon L. Heerema-McKenney, Amy Heller, Debra S. Linn, Rebecca L. Polizzano, Carolyn Ravishankar, Sanjita Redline, Raymond W. Salafia, Carolyn M. Torous, Vanda F. Castro, Eumenia C. |
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10.1016/j.ajog.2022.12.017 |
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2024-07-06T23:43:20.748Z |
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