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    China could afford to be invaded, conquered and then, over time, civilize the invaders and turn them into Chinese simply by the fact that they heavily outnumbered their would be conquerors. Definition ========================================================================= ● Intrauterine fetal demise that may be due to maternal factors (diabetes, preeclampsia, infection), placental abnormalities (vasculopathy, ischemia, infarction) or fetal anomalies (chromosomal disorders, congenital anomalies, ) ● Chorioamnionitis, deciduitis or villitis may be present, thus warranting culture of the placenta Gross description ========================================================================= ● The degree of maceration of the fetus and involution of the placenta are helpful indicators for the length of intrauterine demise Micro description ========================================================================= ● The microscopic changes are similar to those seen in fetal thrombotic vasculopathy (FTV), but are seen diffusely throughout the placenta ● Early / recent demise (24 48 hours) shows nuclear debris in blood vessels or villous vessels ● This is followed by vascular septation in larger vessels with sequential changes in smaller vessels and terminal villi then villous fibrosis ● Other non-specific changes include calcification / increased mineralization of the trophoblastic basement membrane Micro images ========================================================================= Various images End of Placenta Fetal death This information is intended for physicians and related personnel, who understand that medical information is often imperfect, and must be interpreted in the context of a patient's clinical data using reasonable medical judgment. We’ve watched its evolution since the mid-nineties, as early online dating services gave way to the slick, stripped-down design of hookup apps like Tinder.


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