A case report of placenta fenestrate

One of the variants of the placenta is the placenta fenestrate. In rare cases, the central part of the placental disc is missing. In some cases, there is a real hole in the placenta. A porous placenta may be mistaken for a placental cotyledon after delivery. In the present study, a case of placenta fenestrate was reported.

The patient was 31year old woman, G3L2, with a gestational age of 39 weeks who had complained of labor pains and referred to the emergency department of Hazrat Umm Al-Banin Gynecology Hospital. Following a normal delivery, the baby girl was born with Apgar 9-10, weighing 3780 gr and seemingly healthy. Spontaneous departure of the placenta occurred 15 minutes after birth. On examination of the placenta, the placenta was a discoid plate in the center of which there was no part of the cotyledon in the form of a hole 3 cm in diameter, complete placental membranes covered the entire surface of the placenta, and the umbilical cord was connected to the placenta as a marginal joint.

Familiarity with a fenestrate placenta can help prevent mistake in postpartum examinations. Therefore, it is recommended to pay attention to the characteristics of different types of placenta in postpartum examination.