Maternal floor infarction of the placenta: association with central nervous system injury and adverse neurodevelopmental outcome

J Perinatol. 2002 Apr-May;22(3):236-41. doi: 10.1038/sj.jp.7210685.

Abstract

Objective: To compare cranial ultrasound studies and neurodevelopmental outcome of preterm infants affected by maternal floor infarction (MFI) of the placenta to gestational age-matched controls over an 8-year period from a single institution.

Study design: Retrospective case/control study.

Results: Compared to gestational age-matched controls, infants born to mothers with MFI had a higher incidence of CNS injury on neonatal cranial ultrasound examinations and at follow-up were more likely to have a suspicious or abnormal neurologic examination. MFI cases had lower developmental scores in all areas tested and were more likely to have neurodevelopmental impairment.

Conclusion: Infants born to mothers with MFI should have serial neonatal cranial ultrasound examinations to detect CNS injury and neurodevelopmental assessment during early childhood.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Case-Control Studies
  • Central Nervous System / injuries
  • Central Nervous System Diseases / etiology*
  • Developmental Disabilities*
  • Female
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Infant, Premature, Diseases / etiology*
  • Infarction / complications*
  • Intracranial Hemorrhages / etiology
  • Male
  • Placenta / blood supply*
  • Placental Circulation*
  • Pregnancy
  • Pregnancy Outcome*
  • Skull / diagnostic imaging
  • Ultrasonography