{"id":22344,"date":"2019-01-12T00:25:05","date_gmt":"2019-01-11T21:25:05","guid":{"rendered":"http:\/\/ihcoedu.uobaghdad.edu.iq\/?p=22344"},"modified":"2019-01-13T14:00:52","modified_gmt":"2019-01-13T11:00:52","slug":"%d9%85%d9%86%d8%a7%d9%82%d8%b4%d8%a9-%d8%a7%d8%b7%d8%b1%d9%88%d8%ad%d8%a9-%d8%b7%d8%a7%d9%84%d8%a8%d8%a9-%d8%a7%d9%84%d8%af%d9%83%d8%aa%d9%88%d8%b1%d8%a7%d9%87-%d8%a7%d8%b3%d8%aa%d8%a8%d8%b1%d9%82","status":"publish","type":"post","link":"https:\/\/ihcoedu.uobaghdad.edu.iq\/?p=22344","title":{"rendered":"\u0645\u0646\u0627\u0642\u0634\u0629 \u0627\u0637\u0631\u0648\u062d\u0629 \u0637\u0627\u0644\u0628\u0629 \u0627\u0644\u062f\u0643\u062a\u0648\u0631\u0627\u0647 \u0627\u0633\u062a\u0628\u0631\u0642 \u0639\u0632\u0627\u0644\u062f\u064a\u0646 \u0645\u062d\u0645\u0648\u062f \u0645\u0646 \u0642\u0633\u0645 \u0639\u0644\u0648\u0645\u00a0 \u0627\u0644\u062d\u064a\u0627\u0629\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0"},"content":{"rendered":"

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\u00a0<\/strong><\/span><\/h4>\n

\"\"<\/strong><\/span><\/h4>\n
\n

 <\/p>\n

The PhD. Dissertation Discussion of student (Istbraq Aiz Al-Deen Mahmood)from department of Biology<\/span><\/h3>\n

On Thursday,the 10th \u00a0of January 2019,At the hall of the late prof.Dr.Salim Abdulhameed , The PhD. Dissertation Discussion of student (Istbraq Aiz Al-Deen Mahmood)from department of Biology entitled(Histopathological and Immunohistochemical Study of Placenta in Diabetic Women)has been discussed<\/span><\/h3>\n

Abstract<\/span><\/h3>\n

This study was carried out during the period from 2016 to 2018 in the Department of Pathology, College of Medicine\/ Al-Nahrain University and Department of Biology, College of Education for Pure Science (Ibn-Haitham)\/ University of Baghdad. Fresh placentae were obtained from Department of Obstetrics and Gynaecology in Al-Imamain Al-Kadhimiyain (AS) Medical city, Baghdad Teaching Hospital and Al-Karkh Maternity Hospital for the period 1 December 2016 to 1 May 2017 after obtaining the approval from Iraqi Ministry of Health. A total of 102 cases were included in this study, which includes 34 cases with gestational diabetes, 34 cases with pregestational diabetes and 34 cases with normal pregnancy as a control group. In this study, the placentae of three groups were compared on the basis of morphological parameters, histopathological features, histometrical measurement, glycogen deposition with the assist of periodic acid-Schiff stain, expression of vascular endothelium growth factor-A by using immunohistochemical technique and ultrastructural features by Transmission Electron Microscope as well as registered of some clinical parameters of mothers and neonates.<\/span><\/h3>\n

The results of this study showed an increased incidence of gestational diabetes significantly (p\u22640.05) in the age group of 30-39 years, with the mean agewas 29.82\u00b11.09 years. As for parity and gravida, multiparous and gravida were have been found to be more susceptible for diabetes mellitus women in comparison to the primigravida. As well as increased was occurred preterm significantly (p\u22640.05) in gestational and pregestational diabetes groups in compression to control group. Caesarean section was a highly significant occurrence(p\u22640.001) inthe two diabetic groups. Gestational age at ultrasonography was no significant (p>0.05) among the three groups, but at the last menstrual period was significant at the probability level (p\u22640.05).<\/span><\/h3>\n

APGAR score of the neonate (after 5 min) demonstrated a highly significant increase(p\u22640.001) among the three groups.Neonate weight and BMI (the weight of a baby\/ length of the baby) have been significant increases(p\u22640. 05), but fetal\/placental weight ratio was a non significant increase (p>0.05) among the three groups.\u00a0 As for maternal parameters, mean glucose levels before labour was a non significant increase (p>0.05) among the three studied groups, whereas last maternal glycosylated hemoglobin A1c between two diabetic groups showinga highly significant increase (p\u22640.001) and the pregestational diabetesgroup recorded evaluation in last maternal glycosylated hemoglobin A1c value.<\/span><\/h3>\n

Placental weight and diameter showed non significant increases (p>0.05) among the three groups, while central thickness has been a significant increase (p\u22640.05) so as the number of cotyledons were highly significant increase (p\u22640.001) among the three studied groups. Magistralvascular pattern of chorionic blood vessels shown ahighly significant (p\u22640.001) relationship with the two diabetic groups, whilst dispersal pattern was seen in normal women. The umbilical cord long and diameter have been highly significant increases(p\u22640.001) among the three groups as well as umbilical cordinsertion onto the chorionic plate, its colour and number of veins in umbilical cord recorded highly significant increases (p\u22640.001) among control, gestational and pregestational diabetes groups<\/span><\/h3>\n

Maternal age of the studied groups recorded a highly significant (p\u22640.001) in relationship to the first and second trimester of miscarriage or stillbirths in the two diabetic groups together, placental weights in the three studied groups together and umbilical cord types in the three studied groups together and gestational diabetes group separately. Additionally, same highly significant (p\u22640.001) relationship was recorded between each of placental weight with neonatal weight in the three studied groups, umbilical cord length with the gender of neonate in three studied groups together and pregestational diabetes group separately and umbilical cord length with the weight of each neonate and placenta in the three studied groups together, last maternal glycosylated hemoglobin A1c level with the two diabetes groups and method of its treatment, state of the neonate with the method of treatment in diabetic mother. While no significant (p>0.05) relationship was found between maternal age with neonatal gender and umbilical cord lengths.<\/span><\/h3>\n

Immature villi, syncytial knots, villous fibrosis, basement membrane thickening of villi, cytotrophoblast in terminal villi, extravillous fibrinoid, fibrinoid necrosis, Hofbauer cell population in immature intermediate villi, calcification, chorangiosis, thrombosis and thickening of villi vessels, nucleated fetal red blood cells and villous edema have been more occurrence in placenta of the two diabetic groups in comparison to the normal placenta.<\/span><\/h3>\n

Histometrically, terminal villi and their fetal blood vessels of central and peripheral sections of placentae recorded mostly highly significant increases (p\u22640.001) of diameters in male neonates as compared with female neonates of diabetic women. Moreover, the terminal villi diameter in central and peripheral sections of placentae appeared highly significant differences (p\u22640.001) between pregestational diabetes type 1 and type 2, but the diameter of fetal blood vessels in this terminal villous did not record any significant difference (p>0.05).<\/span><\/h3>\n

The results of the histochemical study by of periodic acid-Schiff stain showed an increase in glycogen deposition with high significance (p\u22640.001) in the placentae of diabetic women within intravillous core, around the fetal vessels and basement membranes. As well as central and peripheral sections of placenta were registered difference in frequency of histochemical features.<\/span><\/h3>\n

Vascular endothelium growth factor-A in the trophoblastic cells, villous stroma and fetal vessel endothelial cells in the central section of placentae in the two diabetic women groups have been significantly increased (p\u22640.001) compared to the normal women in both manual microscopic analysis and digital quantification.<\/span><\/h3>\n

Finally, ultra structural study of the central section in the placentae of two diabetic women groups revealed a decreased the thickness of vascular-syncytial membrane and density of syncytiotrophoblast apical microvilli, increased thickness of trophoblastic basement membrane, glycogen deposits and edem<\/span>a.<\/h3>\n","protected":false},"excerpt":{"rendered":"

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