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Placental Insufficiency

Inability of the placenta to supply adequate nutrients and oxygen to the foetus.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Placental Insufficiency?

Placental insufficiency is the inability of the foetus to receive adequate oxygen and nutrients due to reduced uteroplacental blood flow or impaired placental function. It may lead to intrauterine growth restriction (FGR) and foetal distress.

Pre-eclampsia, chronic hypertension, diabetes, autoimmune diseases, thrombophilia and smoking are among the most common causes. A small, infarcted or calcified placenta represents the histopathological findings.

Doppler ultrasonography (umbilical artery, middle cerebral artery, ductus venosus flow) is critically important in diagnosis. Foetal well-being is assessed with growth follow-up, biophysical profile and non-stress testing.

Symptoms

Decreased foetal movements
Fundus height lower than expected growth
Oligohydramnios (decreased amniotic fluid)
Foetal growth restriction (on ultrasonography)
Abnormal Doppler findings

Risk Factors

Pre-eclampsia or chronic hypertension
Diabetes mellitus
Antiphospholipid syndrome
Smoking
Advanced maternal age
Previous FGR or stillbirth in pregnancy

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When a marked decrease in foetal movements is felt
  • When growth restriction is detected on pregnancy follow-up
  • Regular Doppler monitoring in the presence of risk factors

Treatment Methods

01
Close foetal monitoring (NST, Doppler, biophysical profile)
02
Low-dose aspirin (prophylactic, in the risk group)
03
Corticosteroids (for lung maturation, <34 weeks)
04
Timely delivery planning (according to foetal status)
05
Bed rest and lateral position
06
Treatment of the underlying disease

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.