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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Milner, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, Marc J.N.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Ogata, Edward / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

9 Issues per year


IMPACT FACTOR increased in 2015: 1.798
Rank 46 out of 120 in category Pediatrics in the 2015 Thomson Reuters Journal Citation Report/Science Edition

SCImago Journal Rank (SJR) 2014: 0.731
Source Normalized Impact per Paper (SNIP) 2014: 0.687
Impact per Publication (IPP) 2014: 1.483

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1619-3997
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Normal and abnormal transformation of the spiral arteries during pregnancy

Jimmy Espinoza
  • Perinatology Research Branch, NICHD, NIH, DHHS, Detroit MI 48201, and Bethesda MD 20892, USA and Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit MI 48201, USA
/ Roberto Romero
  • Perinatology Research Branch, NICHD, NIH, DHHS, Detroit MI 48201, and Bethesda MD 20892, USA and Center for Molecular Medicine and Genetics, Wayne State University School of Medicine, Detroit MI 48201, USA
/ Yeon Mee Kim
  • Perinatology Research Branch, NICHD, NIH, DHHS, Detroit MI 48201, and Bethesda MD 20892, USA and Department of Pathology, Wayne State University School of Medicine, Detroit MI 48201, USA
/ Juan Pedro Kusanovic
  • Perinatology Research Branch, NICHD, NIH, DHHS, Detroit MI 48201, and Bethesda MD 20892, USA
/ Sonia Hassan
  • Perinatology Research Branch, NICHD, NIH, DHHS, Detroit MI 48201, and Bethesda MD 20892, USA and Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit MI 48201, USA
/ Offer Erez
  • Perinatology Research Branch, NICHD, NIH, DHHS, Detroit MI 48201, and Bethesda MD 20892, USA
/ Francesca Gotsch
  • Perinatology Research Branch, NICHD, NIH, DHHS, Detroit MI 48201, and Bethesda MD 20892, USA
/ Nandor Gabor Than
  • Perinatology Research Branch, NICHD, NIH, DHHS, Detroit MI 48201, and Bethesda MD 20892, USA
/ Zoltan Papp
  • First Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary
/ Chong Jai Kim
  • Perinatology Research Branch, NICHD, NIH, DHHS, Detroit MI 48201, and Bethesda MD 20892, USA and Department of Pathology, Wayne State University School of Medicine, Detroit MI 48201, USA
Published Online: 2006-12-01 | DOI: https://doi.org/10.1515/JPM.2006.089

Abstract

This article reviews the anatomy and physiology of the uterine circulation, with emphasis on the remodeling of spiral arteries during normal pregnancy, and the timing and anatomical pathways of trophoblast invasion of the spiral arteries. We review the definitions of the placental bed and basal plate of the placenta, their relevance to the study of the physiologic transformation of the spiral arteries, as well as the methods to obtain and examine placental bed biopsy specimens. We also examine the role of the extravillous trophoblast in normal and abnormal pregnancies, and the criteria used to diagnose failure of physiologic transformation of the spiral arteries. Finally, we comment on the use of uterine artery Doppler velocimetry as a surrogate marker of chronic uteroplacental ischemia.

Keywords: Atherosis; immunohistochemistry; impedance to blood flow; integrin; physiologic transformation of the spiral arteries; placental bed

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Corresponding author: Roberto Romero, MD Chief, Perinatology Research Branch Intramural Division, NICHD, NIH, DHHS National Institute of Child Health and Human Development Perinatology Research Branch Hutzel Women's Hospital–4th Floor 3990 John R Detroit, MI 48201/USA Tel.: +1 (313) 993-2700 Fax: +1 (313) 993-2694


Received: July 24, 2006

Accepted: September 7, 2006

Published Online: 2006-12-01

Published in Print: 2006-12-01


Citation Information: Journal of Perinatal Medicine. Volume 34, Issue 6, Pages 447–458, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/JPM.2006.089, December 2006

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