112 -12 (86) 2025 - Ortikova F., Akhmadzhonova G. - RELATIONSHIP BETWEEN CLINICAL FACTORS AND MORPHOLOGICAL INJURIES TO THE PLACENTA IN PREMATURE ABROAD IN HIGH-RISK PREGNANCY WOMEN

RELATIONSHIP BETWEEN CLINICAL FACTORS AND MORPHOLOGICAL INJURIES TO THE PLACENTA IN PREMATURE ABROAD IN HIGH-RISK PREGNANCY WOMEN

Ortikova F. - Samarkand State Medical University

Akhmadzhonova G. - Andijan State Medical Institute

Resume

Premature abruption of a normally implanted placenta (placental abruption) was investigated as one of the most severe and prognostically unfavorable obstetric conditions in pregnant women. The aim of the study was to evaluate clinical and morphological factors associated with the development of placental abruption in women at high risk. The material included the results of a comprehensive clinico-morphological analysis of 107 women diagnosed with placental abruption at 28–36 weeks of gestation; the control group consisted of women with a physiological course of pregnancy and delivery. Morphological examination of the placentas revealed characteristic changes, including extensive intervillous hemorrhages, trophoblastic destruction with fibrinoid necrosis, as well as signs of vascular spasm and endothelial dystrophy. The findings indicate that placental abruption is a polyetiological process primarily associated with impaired vascular adaptation and structural alterations of placental tissue, highlighting the future relevance of an integrated clinico-morphological approach for early identification of high-risk patients and prevention of obstetric complications.

Keywords: premature placental abruption, risk group, placental morphology, placental insufficiency, ischemia, vascular disorders

First page

610

Last page

615

For citation:Ortikova F., Akhmadzhonova G. - RELATIONSHIP BETWEEN CLINICAL FACTORS AND MORPHOLOGICAL INJURIES TO THE PLACENTA IN PREMATURE ABROAD IN HIGH-RISK PREGNANCY WOMEN//New Day in Medicine 12(86)2025 610-615 https://newdayworldmedicine.com/en/new_day_medicine/12-86-2025

List of References

  1. Абдуганиева Д.Ф., Джаббарова Л.А. Прегравидарные и пренатальные факторы риска синдрома отставания развития плода. Журнал «Tadqiqot». Ташкент, 2024.
  2. Узокова М.К. Преждевременная отслойка нормально расположенной плаценты. Медицинский журнал Узбекистана. 2025.
  3. Комилова М. Патогенез, диагностика и тактика ведения преждевременной отслойки нормально расположенной плаценты у первородящих. Inlibrary.uz. 2016.
  4. Ниязметов Р.Э. Особенности лечения массивного акушерского кровотечения (ретроспективный анализ). Ташкент, 2020.
  5. Zenodo. Преждевременная отслойка нормально расположенной плаценты: клинико-морфологические аспекты. Ташкент, 2024.
  6. Anderson E., Raja E.A., Shetty A. et al. Changing risk factors for placental abruption: a case-crossover
  7. study using routinely collected data from Finland, Malta and Aberdeen. PLOS ONE. 2020; 15(6): e0233641. DOI: 10.1371/journal.pone.0233641.
  8. Bączkowska M., Dadarowska J., et al. Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption: Systematic Data Review. International Journal of Environmental Research and Public Health. 2022; 19(9): 5148. DOI: 10.3390/ijerph19095148.
  9. Chen D., et al. Independent risk factors for placental abruption: a systematic review and meta-analysis. BMC Pregnancy and Childbirth. 2025. DOI: 10.1186/s12884-025-07482-7.
  10. Zamudio S., Postigo L., et al. Human placental hypoxia-inducible factor-1α expression correlates with clinical outcomes in chronic hypoxia in vivo. Placenta. 2007; 28(8–9): 1005–1010.
  11. Rath G., et al. Expression of HIF-1 Alpha and Placental Growth Factor in Pregnancies Complicated by Hypoxia. PubMed. 2016.
  12. Tsubokura H., et al. Significance of placental CD200 expression in patients with early-onset preeclampsia. Molecular Medicine Reports. 2022; DOI: 10.3892/mmr.2022.12905.
  13. Castro P.R., et al. Cellular and molecular heterogeneity associated with placental microvasculature and angiogenesis. Wiley. 2018

    file

    download