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Gynaecology & Obstetrics Abortion 961c61b2

Nitabuch's membrane is absent in:

A
Placenta accrete
B
Vasa previa
C
Abruption placenta
D
Placenta previa
High-Yield Explanation
Ans. (a) Placenta accretaRef: Williams obstetrics 23rded, Ch 35.* The nitabuch layer is a zone of fibrinoid degeneration in which invading trophoblasts meet the decidua. If the decidua is defective, as in placenta accreta, the Nitabuch layer is usually absent.Also Know* Placenta accreta indicates that villi are attached to the myometrium.* Placenta increta, villi actually invade the myometrium.* Placenta percreta defines villi that penetrate through the myometrium and to or through the serosa.

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