Patoanatomisk undersøgelse af placenta
Patoanatomisk undersøgelse af placenta
Patoanatomisk undersøgelse af placenta
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e-Rekvisition<br />
<strong>Patoanatomisk</strong> <strong>undersøgelse</strong> <strong>af</strong> <strong>placenta</strong><br />
Maters navn Lokalt ”hoved”<br />
(<strong>af</strong>deling, ansvarlig rekvirent)<br />
CPR<br />
Indikation(er) for patoanatomisk <strong>undersøgelse</strong> <strong>af</strong> <strong>placenta</strong> (jf. Sandbjerg guideline):<br />
____________________________________________________________________<br />
____________________________________________________________________<br />
____________________________________________________________________<br />
____________________________________________________________________<br />
Gestationsalder (uger+dage): ___+____<br />
Singleton<br />
Dreng Pige F ____________<br />
ødselsvægt:<br />
Placenta (F00F) Andet: ________________________________________________<br />
Flerfold<br />
Gemelli: MC DC<br />
Trigemini<br />
Køn (D/P): ___ /___ /___ Fødselsvægt: _________ /________ / _________<br />
Placenta (F00F) Andet:_________________________________________________<br />
Forklaring på markering <strong>af</strong> navlesnore: A: __________ B: __________ C: ____________<br />
Placenta patologi<br />
Sandbjerg guideline 14/4 2013 Side 38