Congenital heart disease

Prenatal Congenital Heart Disease and Placental Phenotypes: Preserved Neonatal Weight Despite Small Placentas

JACC AdvPublished Retrospective cohort study

Authors' conclusion

Infants with CHD have preserved BW and head circumferences in the setting of small placentas and increased prevalence of placental pathology, suggesting placental efficiency.

Study context

Population
Live-born singletons with postnatally confirmed congenital heart disease (CHD) with placental pathology
Participants
139 singletons
Outcome
Relationship between BW, head circumference, placental weight and placental pathology (PW:BW ratio as placental efficiency) across CHD categories

Main finding

As reported in the abstract

Birthweight percentile, median
33
Head circumference percentile, median
35
Placental pathology documented
37%
Placental weight (PW):Birthweight (BW) ratio <10th percentile
78%
PW:BW ratio <3rd percentile
54%
No difference in PW:BW <10th percentile between CHD categories
P = 0.39
No difference in PW:BW <3rd percentile between CHD categories
P = 0.56

Observational data: associations, not effects.

Original publication

Prenatal Congenital Heart Disease and Placental Phenotypes: Preserved Neonatal Weight Despite Small Placentas. JACC Adv. Published 30 June 2023. doi:10.1016/j.jacadv.2023.100383

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