engleski

Conflicting data on intervillous circulation in early pregnancy

According to classic embryological textbooks intervillous circulation is established early in the first trimester. This process starts with trophoblastic invasion of the decidua in which proteolytic enzymes facilitate the penetration and erosion of the adjacent maternal capillaries with formation of the lacunae. After the lacunar or previllous stage trophoblast invades deeper portions of endometrium with belonging spiral arteries. This gradual process finishes with direct opening of the spiral arteriesin the intervillous space under the fully developed placenta. This classis concept of the intervillous circulation was challenged in 1987 and 1988 by the experiments of HUSTIN and SHAAPS. The authors believed that blood flow in the intervillous space is absent in incompletely development before 12 weeks of gestation. After the introduction of the new generation of far more sensitive color Doppler devices in last few years, our group and several authors reported a positive finding of intervillous circulation during first trimester of pregnancy.

early pregnancy ; intervillous circulation ; transvaginal color Doppler

nije evidentirano