Classification of Abortion Material; Myth or Reality?


Pathologists always prefer to examine material within the framework of a classification, and those studying tissues from spontaneous abortions are no exception. Most pathologists usually receive, however, only placental and decidual tissue from cases of abortion, and therefore any classification suitable for widespread application has to be based largely on placental morphology. It is, perhaps, fortuitous that this pragmatic necessity is bolstered by a widespread view that placental changes offer the best basis for classification of abortion material. Any useful classification of abortion material in terms of placental morphology should fulfill two criteria:
  1. 1.

    The classification should be based on simple histological examination of haematoxylin and eosin-stained sections and should not necessitate the use of techniques such as morphometry or electron microscopy.

  2. 2.

    There should be a correlation between the types of placental abnormality recognised in the classification and the presumed cause of the abortion.



Spontaneous Abortion Hydatidiform Mole Placental Villus Decidual Tissue Habitual Abortion 
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© Springer-Verlag Berlin Heidelberg 1992

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  • H. Fox

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