Korean J Obstet Gynecol.  2010 Jul;53(7):602-607. 10.5468/kjog.2010.53.7.602.

Analysis of placental pathological findings contributing to intrauterine fetal death

  • 1Department of Obstetrics and Gynecology, St. Vincent's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea. leegsr@catholic.ac.kr


To evaluate placental causes of fetal death intrauterine (IUFD) bases on placental pathologic findings.
Retrospective review of 123 placental pathological reports of singleton fetal deaths from 20 weeks of gestation to 41 weeks of gestation.
The incidences of maternal causes, fetal causes, inflammatory causes, miscellaneous and unremarkable findings were 45.5%, 28.4%, 16.2%, 23.5%, respectively. The incidence of fetal anomaly was 8.9%. Fetal anomalies were deeply related to fetal cause (P=0.000). Intrauterine growth restriction was significantly associated with maternal causes (P=0.038).
No pathological guideline regarding placental examination of intrauterine fetal death exists. In future studies, a better definition of fetal death causes and associated placental pathological findings might aid clinicians in counseling, assessing the risk of recurrence and even preventing fetal death in subsequent pregnancies.


Fetal death; Placenta; Pathology

MeSH Terms

Fetal Death
Retrospective Studies


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