Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Placental grading
1. GRANNUM CLASSIFICATION PLACENTAL GRADING MERCURY IMAGING INSTITUTE SCO 172-173 SEC 9C CHANDIGARH MERCURY IMAGING CENTRE SCO 16-17 SEC 20D CHANDIGARH PLACENTA MEANS FLAT CAKE ( Greek –plakuos)
2. USG APPEARANCE DECIDUA BASALIS – REGION OF THE BASAL PLATE ( HYPOECHOIC APPEARANCE). FETAL SURFACE – ( CHORIOAMNIOTIC MEMBERANE ) ( BRIGHT SPECULAR REFLECTOR)
3. GRADE O LATE FIRST TRIMESTER TO EARLY SECOND TRIMESTER SMOOTH ECHOPATTERN OF THE PLACENTAL PARENCHYMA . NO CALCIFICATION IN THE CHORIONIC / BASAL PLATE . NO INDENTATIONS OF THE CHORIONIC PLATE. ( SMOOTH CHORIONIC PLATE ).
4. GRADE 1 MID SECOND TRIMESTER TO EARLY THIRD TRIMESTER. ( 18 TO 29 WKS) SMALL DIFFUSE CALCIFICATIONS ( HYPERECHOIC AREAS ) ( 2mm to 4mm ) RANDOMLY DISTRIBUTED IN PLACENTA. SUBTLE INDENTATIONS OF THE CHORIONIC PLATE.
5. GRADE 2 LATE THIRD TRIMESTER TILL DELIVERY ( 30WKS TILL DELIVERY) DOT DASH CALCIFICATIONS PATTERN ALONG THE BASAL PLATE . CALCIFICATION PATTERN IS PARALLEL TO THE LONG AXIS OF THE BASAL PLATE. LARGER INDENTATIONS OF THE CHORIONIC PLATE NOT REACHING THE BASAL PLATE.
6. GRADE 3 LATE THIRD TRIMESTER TILL DELIVERY ( 39 WKS – POST DATES) Irregular calcifications with significant shadowing Complete indentation of the chorionic plate through to the basilar plate creating cotyledons.
7.
8. ASSOCIATED WITH -CHRONIC SMOKING ,HYPERTENSION DIABETES, SLE TWO VESSESL FROM THE FETAL SIDE ( UMBILICAL ARTERIES) SUPPLY THE PLACENTA ( FET AL HYPOGASTRIC ARTERIES). ONE UMBILICL VEIN CARRIES BLOOD BACK TO FETUS TO JOIN LEFT FETAL PORTAL VEIN. MATERAL SIDE ARTERIES CROSSING MYOMETRIUM ( ARCUTAE ARTERIES) , THROUGH BASILAR ARTERY ( SPIRAL ARTERIES). MATERANL VENOUS CHANNELS IN THE PLACENTA ARE CALLED AS MATERNAL LAKES. THICKNESS OF PLACENTA IN THE MID POSITION / CORD INSERTION IS 2 TO 4CM.
9. SUBJECTIVE FACTOR CALCIFICATION associations with…………. Fetal distress in labor Poor perinatal outcome, Maternal smoking First-time mothers Preeclampsia, PLANE OF THE VIEW. GAIN FACTORS SETTINGS EXPERIENCE OF THE OBSERVER. TEXTURE OF PLACENTA INEDNTATIONS OF THE CHORIONIC PLATE CALFICATION INTERPRETATION.
16. TWINNING- SOME RULES……….. TWO YOLK SACS TWO AMNION TWO PLACENTA TWO CHORION T SIGN – MONOCHORIONIC DIAMNIOTIC TWIN BEAK SIGN- DIAMNIOTIC / DICHORIONIC INTERTWIN MEMBERANE >2 MM ( DIAMNIOTIC / DICHORIONIC) <2 MM ( DIAMNIOTIC)