Fetal Placental Thrombosis and Neonatal Implications

 

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ABSTRACT

We present the neonatal complications of two premature newborn infants whose placentas demonstrated placental thrombosis in the fetal circulation. Both mothers presented with a 3-day history of decreased fetal movements before delivery. The first infant presented with thrombocytopenia and disseminated intravascular coagulation. The second infant had extended bilateral extended hemorrhagic venous infarctions. Severe fetal placental vascular lesions seem to be a predisposing factor for some adverse neonatal outcomes. We present these two cases with a brief review of the literature.

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Pia WintermarkM.D. 

Clinical Fellow, Harvard Neonatal-Perinatal Fellowship Training Program, Division of Newborn Medicine, and Associate Research Scientist, Department of Radiology, Children's Hospital Boston

300 Longwood Avenue, Enders 961, Boston, MA 02115

Email: Pia.Wintermark@bluemail.ch