PriMera Scientific Surgical Research and Practice (ISSN: 2836-0028)

Research Article

Volume 8 Issue 4

Reducing Maternal and Fetal Risk: Early Detection and Monitoring of Battledore Placenta

Ella Staunton, Skyeava Sloan, Reverence Atekha and Paul H Hartel*

October 09, 2026

DOI : 10.56831/PSSRP-08-338

View PDF

Abstract

Placental abnormalities including battledore placenta can have morbidity and mortality implications for mother and foetus. We reviewed gross and histologic findings of 32 battledore placentas and compared them to 32 normal cord insertion control placentas. Gross and histologic findings with the greatest difference in prevalence compared with controls were intervillous thrombus, arterial medial hypertrophy, acute funisitis, single artery umbilical cord and subchorionic haemorrhage. Battledore placentas did not meaningfully differ from controls regarding prevalence of acute or chronic chorioamnionitis, meconium staining, increased villous capillaries, increased perivillous fibrin deposition, distal villous hypoplasia, infarction, retroplacental haematoma, villous oedema, calcifications or increased syncytial knots. Early identification of battledore placentas may reduce risk of serious clinical conditions associated with maternal vascular malperfusion, infection and haemorrhage.

Keywords: Battledore placenta; maternal vascular malperfusion; ante-partum ultrasound; acute funisitis; subchorionic haemorrhage; pre-eclampsia

References

  1. Goidescu IG., et al. “Succenturiate placental lobe abruption”. Int J Womens Health 16 (2024): 1041-1047.
  2. Young M., et al. “The role of light and sound technologies in the detection of vasa praevia”. Reprod Fertil Dev 3.4 (1991): 439-445.
  3. Dabkowska S., et al. “Ultrasound evaluation of a bilobed placenta with battledore cord insertion — A report of an unusual case”. Ginekologia Polska 91.2 (2020): 100.
  4. Sharma N., et al. “Coexistent circumvallate placenta and battledore insertion of umbilical cord resulting in grave obstetric outcome: A Case Report”. Journal of Reproduction and Infertility 18.4 (2017): 390-392.
  5. Rolschau J. “The relationship between some disorders of the umbilical cord and intrauterine growth retardation”. Scandinavian Journal of Obstetrics and Gynecology 72 (1978): 15-21.
  6. Tufail S., et al. “Association between battledore placenta and perinatal complications”. Journal of Rawalpindi Medical College 16.2 (2012): 159-161.
  7. Ismail KI., et al. “Abnormal placental cord insertion and adverse pregnancy outcomes: a systematic review and meta-analysis”. Systematic Reviews 6.1 (2017): 242.