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OBJECTIVES:The current study sought to identify macroscopic placental changes associated with clinical conditions in women with or without diabetes and their newborns.METHODS:The study population consisted of 62 pregnant women clinically diagnosed with diabetes and 62 healthy women (control group).RESULTS:Among the subjects with diabetes, 43 women (69.3%) were diagnosed with gestational diabetes mellitus, 15 had diabetes mellitus I (24.2%), and four had diabetes mellitus II (6.5%). The mean age of the women studied was 28.5±5.71 years, and the mean gestational age of the diabetic women was 38.51 weeks. Of the 62 placentas from diabetic pregnancies, 49 (79%) maternal surfaces and 59 (95.2%) fetal surfaces showed abnormalities, including calcium and fibrin deposits, placental infarction, hematoma, and fibrosis. A statistical association was found between newborn gender and fetal and maternal placental changes (p = 0.002). The mean weight of the newborns studied was 3,287±563 g for women with diabetes mellitus, 3,205±544 g for those with gestational diabetes mellitus, 3,563±696 g for those with diabetes mellitus II, and 3,095±451 g for those with diabetes mellitus I.CONCLUSIONS:Infarction, hematoma, calcification, and fibrin were found on the maternal and fetal placental surfaces in women with diabetes. Women with gestational diabetes and post-term infants had more calcium deposits on the maternal placental surface as compared to those with type I and type II diabetes.

Objective: to analyze clinical, placental and obstetric aspects of women with and without high-risk pregnancy, and their relationship with intrauterine growth deviations and neonatal aspects.Method: this is a cross-sectional descriptive study. Data collection was based on an analysis of the medical records of women with and without high-risk pregnancy and newborns, and anatomopathological characterization of the placenta.Results: 265 placentas were analyzed, 130 (49.06%) women with high-risk pregnancy and newborns with intrauterine growth deviations. A higher occurrence of placental changes was found in high-risk pregnancy and uterine growth deviations in comparison to cases without high-risk pregnancy (p≤0.001). High-risk pregnancies with intrauterine growth deviations were associated with placental changes (p≤0.001). Intrauterine growth deviations was related to birth weight in cases of high-risk pregnancy compared to normal gestation (p=0.014).Conclusion: a higher occurrence of placental anatomopathological changes was found in maternal and fetal surfaces in cases of high-risk pregnancy and intrauterine growth deviations. DESCRIPTORS:Fetal growth retardation. High risk pregnancy. Neonatology. Placenta. Newborn. RELAÇÃO ENTRE OS ASPECTOS CLÍNICOS, PLACENTÁRIOS, OBSTÉTRICOS E NEONATAIS E O CRESCIMENTO INTRAUTERINO NA GESTAÇÃO DE ALTO RISCO RESUMOObjetivo: analisar aspectos clínicos, placentários e obstétricos de mulheres com e sem gestação de alto risco e sua relação com desvios de crescimento intrauterino e aspectos neonatais.Método: trata-se de um estudo descritivo transversal. A coleta de dados baseou-se em análise dos prontuários das mulheres com e sem gestação de alto risco e dos recém-nascidos, e análise anatomopatológica placentária.Resultados: foram estudadas 265 placentas, 130 (49,06%) de mulheres com gestação de alto risco e recém-nascidos com desvios de crescimento intrauterino. Houve maior ocorrência de alterações placentárias em gestação de alto risco e Desvios de crescimento uterino comparadas aos casos sem gestação de alto risco (p≤0,001). Gestação de alto risco com Desvios de crescimento intrauterino possui associação com alterações placentárias (p≤0,001). desvios de crescimento intrauterino está relacionado ao peso ao nascer em casos com gestação de alto risco, comparados com gestação normal (p=0,014).Conclusão: existe maior ocorrência de alterações anatomopatológicas placentárias nas faces materna e fetal nos casos com gestação de alto risco e desvios de crescimento intrauterino. DESCRITORES:Retardo do crescimento fetal. Gravidez de alto risco. Neonatologia. Placenta. Recém-nascido.http://dx.doi.org/10.1590/0104-07072017005520015Texto Contexto Enferm, 2017; 26(2):e5520015Salge AKM, Silva RCR, Guimarães JV, Ramalho WS, Abdalla DR, Abdalla GR1 2/9 RELACIÓN ENTRE LOS ASPECTOS CLÍNICOS PLACENTARIOS, OBSTÉTRICOS Y NEONATALES Y EL CRECIMIENTO INTRAUTERINO EN LA GESTACIÓN DE ALTO RIESGO RESUMENObjetivo: analizar aspectos clínicos, placentarios y obstétricos de mujeres con y sin gestación de a...