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Open AccessJournal ArticleDOI

Rheological and Physiological Consequences of Conversion of the Maternal Spiral Arteries for Uteroplacental Blood Flow during Human Pregnancy

TLDR
Dilation has a surprisingly modest impact on total blood flow, and so it is suggested the placental pathology associated with deficient conversion is dominated by rheological consequences rather than chronic hypoxia.
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This article is published in Placenta.The article was published on 2009-06-01 and is currently open access. It has received 938 citations till now. The article focuses on the topics: Intervillous space & Spiral artery.

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Sampling and Definitions of Placental Lesions: Amsterdam Placental Workshop Group Consensus Statement

TL;DR: The group agreed on sets of uniform sampling criteria, placental gross descriptors, pathologic terminologies, and diagnostic criteria for placental lesions, which will assist in international comparability of clinicopathologic and scientific studies and assist in refining the significance of lesions associated with adverse pregnancy and later health outcomes.
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Pre-eclampsia part 1: current understanding of its pathophysiology

TL;DR: The diagnosis, classification, clinical manifestations and putative pathogenetic mechanisms of pre-eclampsia are discussed.
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Pre-eclampsia: pathophysiology and clinical implications

TL;DR: Recent research has focused on placental-uterine interactions in early pregnancy, and the aim now is to translate these findings into new ways to predict, prevent, and treat pre-eclampsia.
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Immunology of Pre-Eclampsia

TL;DR: In this paper, the pathogenesis of pre-eclampsia can be related to defined immune mechanisms that are appropriate to the fetomaternal frontier, and the first pregnancy preponderance and partner specificity can be explained by this model.
References
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Journal ArticleDOI

Inadequate maternal vascular response to placentation in pregnancies complicated by pre-eclampsia and by small-for-gestational age infants.

TL;DR: Findings point to a defect in the normal interaction between migratory trophoblast and maternal uterine tissues in pre‐eclampsia and in SGA, a feature not seen beyond the second trimester in normal pregnancy.
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Preeclampsia: an excessive maternal inflammatory response to pregnancy.

TL;DR: It is argued that preeclampsia arises when a universal maternal intravascular inflammatory response to pregnancy decompensates in particular cases, which may occur because either the stimulus or the maternal response is too strong.
Journal ArticleDOI

Endovascular Trophoblast Invasion: Implications for the Pathogenesis of Intrauterine Growth Retardation and Preeclampsia

TL;DR: The reviewed data suggest that endovascular trophoblast invasion involves a side route of interstitial invasion, which is associated with maintenance of high uteroplacental vascular resistance and intrauterine growth restriction (IUGR) and preeclampsia.
Journal ArticleDOI

The Uterine Spiral Arteries In Human Pregnancy: Facts and Controversies

TL;DR: Several features of the human placental bed are mirrored by processes in other species with haemochorial placentation, and studying such models may help to illuminate poorly understood aspects of human placenta and fetus.
Book

Obstetrics Normal And Problem Pregnancies

Gabbe
TL;DR: The third edition of this work is a reference guide for a new generation of obstetricians and gynaecologists.
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