Evidence map›Paper›PMID 41049995›Full record

ArticleCureus2025

Pathological Insights: Placental and Umbilical Cord Changes in Stillbirth.

Aishwarya Sr, Sujata Siwatch, Nandita Kakkar, Reetu Kundu, Neelam Aggarwal, Shiv Sajan Saini, Kirti Gupta

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Aishwarya SrObstetrics and Gynecology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Sujata SiwatchObstetrics and Gynecology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Nandita KakkarHistopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Reetu KunduCytology and Gynaepathology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Neelam AggarwalObstetrics and Gynecology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Shiv Sajan SainiPediatric Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Kirti GuptaHistopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStillbirth evaluation plays a crucial role in the management of future pregnancies, as it can help identify risk factors that may recur. Additionally, it may provide a definitive cause of death, helping bring closure to the family and guiding both emotional healing and clinical care.

aimTo study various pathological findings of the placenta and umbilical cord in cases of stillbirths. PARTICIPANTS AND

methodsFifty women suffering stillbirths occurring at ≥ 24 weeks of gestation were included in the study. Demographic details, past obstetric history, and antenatal history of the present pregnancy were recorded for all women. Detailed general physical, obstetric, and systemic examinations were done. All antenatal investigations were noted. After delivery, the stillborn was weighed, and any gross congenital malformations (CMF) were documented. Histopathological evaluation was done as per the Amsterdam placental group workshop consensus statement.

resultsThe majority of women were between 19 and 30 years old. A history of stillbirth in previous pregnancies was present in four women. Most of the stillbirths were antepartum. Prominent clinical causes of stillbirths included fetal malformations, fetal growth restriction, and hypertensive disorders in pregnancy. However, a notable number remained unclassified (18%). Gross and microscopic findings of the placenta, cord, and membranes are presented. The most common histopathological placental finding was fibrin deposition, seen in 38 cases, with other notable features being placental infarction, calcification, and chorioamnionitis. Placental findings were correlated with clinical causes of stillbirth. Findings in clinically unclassified stillbirths are also enumerated.

conclusionOur study underscores the importance of conducting autopsies and examining placental histopathology to determine the causes of stillbirth. Such insights are essential for planning personalized care, helping to improve outcomes in future pregnancies, particularly those following a loss.

Indexed as

autopsyhistopathologymembranesperinatal pathologyplacentastillbirth

Identifiers

PMID41049995
PMCPMC12490432

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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.