A case report of placenta fenestrate

Document Type : Case report

Authors

1 B.Sc. of Midwifery, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University Medical of Medical Sciences, Mashhad, Iran.

3 Associate Professor, Department of Obstetrics and Gynecology, Patient's Safety Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Instructor, Department of Midwifery, Nursing and Midwifery Care Research Center, Mashhad University Medical of Medical Sciences, Mashhad, Iran.

Abstract

Introduction: One of the variants of the placenta is the placenta fenestrate. In rare cases, the central part of the placental disc is missing. In some cases, there is a real hole in the placenta. A porous placenta may be mistaken for a placental cotyledon after delivery. In the present study, a case of placenta fenestrate was reported.
Case presentation: The patient was 31year old woman, G3L2, with a gestational age of 39 weeks who had complained of labor pains and referred to the emergency department of Hazrat Umm Al-Banin Gynecology Hospital. Following a normal delivery, the baby girl was born with Apgar 9-10, weighing 3780 gr and seemingly healthy. Spontaneous departure of the placenta occurred 15 minutes after birth. On examination of the placenta, the placenta was a discoid plate in the center of which there was no part of the cotyledon in the form of a hole 3 cm in diameter, complete placental membranes covered the entire surface of the placenta, and the umbilical cord was connected to the placenta as a marginal joint.
Conclusion: Familiarity with a fenestrate placenta can help prevent mistake in postpartum examinations. Therefore, it is recommended to pay attention to the characteristics of different types of placenta in postpartum examination.

Keywords


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