尼日利亚足月新生儿胎盘、出生体重及相关危险因素的形态计量学和形态学评估

Bob-Manuel, Ibinabo Fubara, Bob-Manuel, Sotonyemieba Fayeofori
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摘要

胎盘是胎儿在子宫内的生存、健康生长和发育所依赖的一个具有独特发育和功能的临时性动态器官。本研究旨在确定足月新生儿胎盘形态、出生体重及相关危险因素。该研究涉及50个胎盘(27个来自男性,23个来自女性)。采用资料分析的描述性统计方法对均值进行分析,标准差进行分析,并对均值进行z检验。观察新生儿体重、胎胎盘系数、胎盘重量、最大胎盘重量、胎盘厚度、脐带长度的平均值和标准差;分别为3.21±0.4、6.36±1.92、0.54±0.16、21.30±1.04、2.17±0.28、54.16±2.11。此外,最主要的脐带附着类型是偏心,频率为38。除8个子叶外,98%的胎盘子叶数在15个及以上。研究中观察到动脉不完整的存在。结果表明,胎盘重量与新生儿体重有显著相关性,胎盘异常会导致新生儿健康状况不佳。胎盘的检查对未来的产后生活是有用的,因为它是新生儿出生体重的指示。以及新生儿对成年早期疾病的抵抗力。因此,建议医生注意胎盘。
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Morphometric and Morphologic Assessment of the Placenta, Birth Weight and Associated Risk Factors in Full Term Neonates in Nigeria
Placenta is a temporary and dynamic organ which is unique in its development and function on which survival, healthy growth and development of fetus in the uterus mostly depends. The study was carried out to determine the morphometry and morphology of placenta, birth weight and associated risk factor of full-term neonates. The study involved 50 placentae (27 from males and 23 from females). Descriptive statistical method of data analysis was used to analyze the mean, standard deviation and z-test to correlate the mean. The mean and standard deviation of neonatal weight, fetoplacental coefficient, weight of placenta, maximum weight of placenta, thickness of placenta and the length of umbilical cord observed were; 3.21±0.4, 6.36±1.92, 0.54±0.16 21.30±1.04, 2.17±0.28 and 54.16±2.11 respectively. Also, the most predominant type of umbilical cord attachment was eccentric with a frequency of 38. The number of cotyledons was found to be 15 and above for 98% of the placentaes excluding one which had 8 cotyledons. The presence of incomplete artery was observed in the study. The result showed that placental weight correlates significantly with neonatal weight and that abnormal placenta results in poor health of the neonate. The examination of the placenta can be useful for the future postnatal life as it is indicative of neonatal birth weight. and resistance to early adulthood diseases of the neonates. It is, therefore, recommended that physicians pay attention to the placenta.
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