Fetus - abortion

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Fetus abortion Description

1 2 3 4 5 6 Sex; weight; crownrump length (A), crownheel length (B), or foot length (C) (see accompanying drawings, p. 2601) Approximate length of gestation (see Table App E-1 and drawings p. 2601) General condition: well preserved? macerated? External and internal anomalies and other changes Umbilical cord: appearance, number of vessels Placental tissues accompanying fetuses: a Weight b Membranes: insertion, color, transparency, completeness; extramembranous pregnancy? marginal or membranous hemorrhage? c Umbilical cord: insertion, color, focal changes d Chorionic plate: vascular pattern, vessel caliber, color; subchorionic hemorrhage? e Villi: hydatidiform change? (note proportion of involved villi and size of cysts); focal lesions?

Sections for histology

1 2 3 Small embryos: submit whole embryo or one half, depending on size Large fetuses: submit one section from lungs, stomach (including gastric contents), kidneys, and other organs, as indicated Placental tissues: a Extraplacental membranes (one section) b Umbilical cord (one section) c Chorionic plate (one section) d Villi from chorion frondosum, including maternal surface (one section)

For a more thorough examination of specimens for fetal malformations and chromosomal abnormalities, see: 1 Klatt EC. Pathologic examination of fetal specimens from dilation and evacuation procedures. Am J Clin Pathol 1995, 103: 415418 2 Robboy SJ, Kraus TF, Kurman RJ. Gross description, processing, and reporting of gynaecologic and obstetric specimens. In Kurman RJ (ed.): Blaustein's pathology of the female genital tract, ed. 4. New York, 2002, Springer-Verlag, pp. 13191346 3 Szulman AE. Examination of the early conceptus. Arch Pathol Lab Med 1991, 115: 696700

Table App E-1 -- Relations of age, size, and weight in the human embryo AMOUNT OF INCREASE EACH MONTH WHEN VALUE AT START OF

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Fetus - abortion

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MONTH EQUALS UNITY Crownrump External diameter Age of Crownheel Weight in (CR) length of chorionic sac CR length Weight embryo length (mm) grams (mm) (mm) One week 0.1* 0.2 Two weeks 0.2* 3 Three 2.0 10 weeks Four 5.0 10 0.02 49.0 40000.00 weeks Five weeks 8.0 25 Six weeks 12.0 30 Seven 17.0 19.0 40 weeks Two lunar 25.0 30.0 50 1 3.6 49.00 months Three lunar 56.0 73.0 14 1.4 13.00 months Four lunar 112.0 157.0 105 1.0 6.50 months Five lunar 160.0 239.0 310 0.43 1.95 months Six lunar 203.0 296.0 640 0.26 1.07 months Seven lunar 242.0 355.0 1080 0.14 0.69 months Eight lunar 277.0 409.0 1670 0.14 0.55 months Nine lunar 313.0 458.0 2400 0.13 0.43 months Full term 350.0 500.0 3300 0.12 0.38 (38 weeks) From Arey LB. Developmental anatomy, ed. 7, revised. Philadelphia, 1974, W.B. Saunders, p. 104.
* Total length of embryonic disc.

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