A pregnancy that is prolonged may be associated with placental insufficiency, which adversely affects the fetus. Clifford described progressive stages of this dysmaturity syndrome.
Consequences of placental dysfunction:
(1) growth retardation
(2) decreased nutrition delivery, with catabolism of subcutaneous fat
(3) fetal anoxia with release of meconium
(2) meconium staining placenta and amniotic fluid (AF)
(3) meconium staining neonate
Meconium Staining Placenta and AF
Meconium Staining Neonate
dry, cracking, wrinkled, parchment like
present with nails affected, bright yellow
• The higher the stage the more severe the dysmaturity and the higher the risk of morbidity and mortality.
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Purpose: To evaluate a neonate following prolonged gestation for signs of the dysmaturity syndrome.
Specialty: Obstetrics & Gynecology
Objective: severity, prognosis, stage
ICD-10: P05.0, P27.0,