Evidence map›Paper›PMID 30044764›Full record

ArticleJournal of perinatal medicine2018

The frequency and type of placental histologic lesions in term pregnancies with normal outcome.

Roberto Romero, Yeon Mee Kim, Percy Pacora, Chong Jai Kim, Neta Benshalom-Tirosh, Sunil Jaiman, Gaurav Bhatti, Jung-Sun Kim, Faisal Qureshi, Suzanne M Jacques and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of perinatal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed
15.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 179 citations in OpenAlex.

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  8. BRIDGING COTYLEDON PATHOLOGY AND PERFUSION IN HEALTHY PRIMATE PREGNANCY.bioRxiv : the preprint server for biology · 2026
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48 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 3 countries.

Roberto RomeroPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
Yeon Mee KimPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
Percy PacoraPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
Chong Jai KimPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
Neta Benshalom-TiroshPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
Sunil JaimanPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
Gaurav BhattiPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
Jung-Sun KimPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
Faisal QureshiPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
Suzanne M JacquesPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
Eun Jung JungPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
Lami YeoPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
Bogdan PanaitescuPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
Eli MaymonPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
Sonia S HassanPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
Chaur-Dong HsuDepartment of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, MI, USA.
Offer ErezPerinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA, and Detroit, MI,USA.
United States Department of Health and Human Services · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USWayne State University · USHutzel Women's Hospital · USInje University Haeundae Paik Hospital · KRMichigan State University · US

Funding

The Role Of Subclinical Infection And Cytokines In Preterm ParturitionZIAHD002400 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI ROMERO, ROBERTO · 2009 to 2025
$254.4M
Intramural NIH HHS ZIA HD002400NICHD NIH HHS HHSN275201300006C
6 · The paper itself

Abstract

Objective To determine the frequency and type of histopathologic lesions in placentas delivered by women with a normal pregnancy outcome. Methods This retrospective cohort study included placental samples from 944 women with a singleton gestation who delivered at term without obstetrical complications. Placental lesions were classified into the following four categories as defined by the Society for Pediatric Pathology and by our unit: (1) acute placental inflammation, (2) chronic placental inflammation, (3) maternal vascular malperfusion and (4) fetal vascular malperfusion. Results (1) Seventy-eight percent of the placentas had lesions consistent with inflammatory or vascular lesions; (2) acute inflammatory lesions were the most prevalent, observed in 42.3% of the placentas, but only 1.0% of the lesions were severe; (3) acute inflammatory lesions were more common in the placentas of women with labor than in those without labor; (4) chronic inflammatory lesions of the placenta were present in 29.9%; and (5) maternal and fetal vascular lesions of malperfusion were detected in 35.7% and 19.7%, respectively. Two or more lesions with maternal or fetal vascular features consistent with malperfusion (high-burden lesions) were present in 7.4% and 0.7%, respectively. Conclusion Most placentas had lesions consistent with inflammatory or vascular lesions, but severe and/or high-burden lesions were infrequent. Mild placental lesions may be interpreted either as acute changes associated with parturition or as representative of a subclinical pathological process (intra-amniotic infection or sterile intra-amniotic inflammation) that did not affect the clinical course of pregnancy.

Indexed as

AdultChorioamnionitisCohort StudiesFemaleHumansInfant, NewbornInflammationLabor, ObstetricMalePlacentaPlacenta DiseasesPregnancyPregnancy OutcomeRetrospective StudiesYoung AdultAcute histologic chorioamnionitisamniotic fluid infectionchronic chorioamnionitischronic deciduitischronic placental inflammationfetal vascular malperfusionfunisitisintra-amniotic infectionmaternal vascular malperfusionnormal or uncomplicated pregnancysterile intra-amniotic inflammationvillitis of unknown etiology

Identifiers

PMID30044764
PMCPMC6174692
OpenAlexW2884712186

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.