Evaluation of Placentas of Women with Endometriosis

Placentas of women with endometriosis will be morphologically evaluated after delivery The analysis will be held in accordance with the placental classification system defined by G Turowski , L N Berge, L B Helgadottir et al., 2012;33(12):1026-35. This system is clinically oriented, unifying and simple placental pathology classification defining mainly nine major diagnostic categories including normal placenta. Clinical Diagnostic categories are listed below: 1.Placenta with normal morphology,according to gestational age 2. Placenta with chorioamnionitis 3. Placenta with villitis and intervillositis 4. Placenta with maternal circulatory disorders (decidual vasculopathy) 5. Placenta with fetal circulatory disorders 6. Placenta with delayed villous maturation 7. Placenta with findings, suggestive of genetic aberration 8. Placenta with implantation disorders 9. Placenta with other lesions Each clinical situation has major defining characteristics defined by the authors. The placentas will be transported to Pathology Department in the same hospital as soon as delivered. The specimens will be fixed and stored until the histopathological examination. Each patient will be questioned about demographic variables but also antenatal problems such as antenatal bleeding in any trimester, placenta previa, small for gestational age, diabetes mellitus etc. But also, each patient will be questioned about the diagnostic procedures held for endometriosis, the stage of endometriosis and the time to pregnancy after the operation etc. The questionnaires for each patient will be filled by the gynecologist by the interview with the patient. A ten minute questionnaire will be held for this purpose.