This site is targeted at medical and radiology professionals, contains user contributed content, and material that may be confusing to a lay audience. Use of this site implies acceptance of our Terms of Use.

Placental insufficiency

Placental insufficiency is a term given to a situation where the placenta cannot bring enough oxygen and nutrients to the growing fetus.

Clinical presentation

Fetuses may present with intra-uterine growth restriction (IUGR) (especially asymmetrical IUGR).

Pathology

It can be primarily caused by three main mechanisms 4

  • impairment in maternal circulation
    • maternal hypertension
    • maternal thrombophilic disorders
  • impairment in fetal circulation
    • placental implantation over a fibroid
  • vascular thrombosis - e.g placental infarction
Risk factors
  • maternal narcotic (cocaine / heroin) use

Radiographic assessment

Ultrasound
Doppler ultrasound

In chronic placental insufficiency there is often abnormal umbilical arterial Dopplers.

More content required

Fetal MRI

Not part of routine investigation. There are some reports suggesting the presence of restricted diffusion and reduced ADC values on MRI 2

Updating… Please wait.
Loadinganimation

Alert_accept

Error Unable to process the form. Check for errors and try again.

Alert_accept Thank you for updating your details.