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Association of retroplacental blood with basal plate myofibers

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TypeOfResource
Text
TitleInfo
Title
Association of retroplacental blood with basal plate myofibers
Name (type = personal)
NamePart (type = family)
Wyand
NamePart (type = given)
Rachel
Affiliation
University of Rochester School of Medicine
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Cramer
NamePart (type = given)
Stewart F.
Affiliation
University of Rochester School of Medicine
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Oshri
NamePart (type = given)
Assaf
Affiliation
University of Georgia
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Heller
NamePart (type = given)
Debra
Affiliation
Pathology & Laboratory Medicine (New Jersey Medical School, NJMS), Rutgers University
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (authority = RutgersOrg-Department); (type = corporate)
NamePart
Pathology & Laboratory Medicine (New Jersey Medical School, NJMS)
Name (authority = RutgersOrg-School); (type = corporate)
NamePart
New Jersey Medical School (NJMS)
Genre (authority = RULIB-FS)
Article, Refereed
Genre (authority = NISO JAV)
Accepted Manuscript (AM)
Note (type = peerReview)
Peer reviewed
Note (type = special display note)
Abstract published as Wyand, R. Cramer, S., Oshri, A., Heller, D. (2017). Association of retroplacental blood with basal plate myofibers. Placenta, 57, 280. http://dx.doi.org/10.1016/j.placenta.2017.07.182
OriginInfo
DateIssued (encoding = w3cdtf); (keyDate = yes); (qualifier = exact)
2017
Abstract (type = Abstract)
Objectives: Diagnosed clinical abruption showing blood clot should be signed out in the pathology report as retroplacental hemorrhage with or without parenchymal indentation, and submitted clot separate from the placenta should be weighed. In our experience some cases sent as clinical abruptions have been cases of morbid adherence. This study was undertaken to evaluate the association of retroplacental blood with basal plate myofibers (BPMF).

Methods: 156 placentas reviewed by a board certified pediatric pathologist at a community hospital were evaluated for significant retroplacental blood. Basal plates were reviewed for deviations from normal.

Results: 33/156 placentas (21%) had significant retroplacental blood. 21/156 (13%) had a separate clot, of which 11/21 (52%) had basal plate myofibers (BPMF). 11 BPMF‐associated separate clots ranged from 10.5‐60 gms (average 23); while the clots of 10 cases with no demonstrated BPMF ranged from 19‐440 gms (average 82), tending to be larger (p<.03). Basal plate damage prior to delivery was noted in both sets of placentas. BPMF placentas could have myometrial damage prior to delivery.

Conclusions: Since BPMF may confer a risk for accreta in a subsequent pregnancy, submission of a separate clot with the placenta should lead the pathologist to evaluate for basal plate myofibers on H&E, and consider if there is an evidencebased indication to do an actin stain; before presuming a diagnosis of abruption.
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
PhysicalDescription
InternetMediaType
application/pdf
Extent
22 p.
Subject (authority = local)
Topic
Placenta
Subject (authority = local)
Topic
Basal plate myofibers
Subject (authority = local)
Topic
Abruption
Subject (authority = local)
Topic
Accreta
Extension
DescriptiveEvent
Type
Citation
DateTime (encoding = w3cdtf)
2017
AssociatedObject
Name
Pediatric and Developmental Pathology
Type
Journal
Relationship
Has part
Identifier (type = volume and issue)
57
Reference (type = url)
http://dx.doi.org/10.1016/j.placenta.2017.07.182
Detail
280
RelatedItem (type = host)
TitleInfo
Title
Heller, Debra
Identifier (type = local)
rucore30185000001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3ST7SRJ
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Rights

Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
RightsEvent
Type
Permission or license
AssociatedObject
Type
License
Name
Multiple author license v. 1
Detail
I hereby grant to Rutgers, The State University of New Jersey (Rutgers) the non-exclusive right to retain, reproduce, and distribute the deposited work (Work) in whole or in part, in and from its electronic format, without fee. This agreement does not represent a transfer of copyright to Rutgers. Rutgers may make and keep more than one copy of the Work for purposes of security, backup, preservation, and access and may migrate the Work to any medium or format for the purpose of preservation and access in the future. Rutgers will not make any alteration, other than as allowed by this agreement, to the Work. I represent and warrant to Rutgers that the Work is my original work. I also represent that the Work does not, to the best of my knowledge, infringe or violate any rights of others. I further represent and warrant that I have obtained all necessary rights to permit Rutgers to reproduce and distribute the Work and that any third-party owned content is clearly identified and acknowledged within the Work. By granting this license, I acknowledge that I have read and agreed to the terms of this agreement and all related RUcore and Rutgers policies.
RightsEvent
Type
Embargo
DateTime (encoding = w3cdtf); (keyDate = no); (point = end); (qualifier = exact)
2018-10-12
DateTime (encoding = w3cdtf); (keyDate = no); (point = start); (qualifier = exact)
2017-10-12
Detail
Access to this PDF has been restricted at the publisher's request. It will be publicly available after October 12, 2018.
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Technical

RULTechMD (ID = TECHNICAL1)
ContentModel
Document
CreatingApplication
Version
1.5
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2017-10-12T11:26:58
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2017-10-12T11:30:56
ApplicationName
Acrobat Distiller 11.0 (Windows)
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