Intrauterine hypoxia takes place when the uterus does not have an adequate supply of oxygen. Once this occurs, intrauterine growth restriction could occur and damage the brain and spinal cord. This condition may lead to a higher mortality rate, including sudden infant death syndrome (SIDS). As such, it is essential to pursue scientific research into in utero-fetal hypoxia and other perinatal complications.
My primary research interests are in placental and perinatal pathology. In particular, I want to refine the placental diagnostic criteria of in utero-fetal hypoxia and perinatal complications.
At the beginning of my career, I was an obstetrician, gynecologist, reproductive endocrinologist and clinical perinatologist in Poland. In 1994, I came to Cincinnati Children’s as a perinatal and placental pathologist.
In the field of gynecology, I developed a new approach for operative treatment of female urinary incontinence. In the discipline of placental pathology, I described multiple placental hypoxia-related lesions, including:
My recognitions include receiving five residency teaching awards from the University of Cincinnati and an award from the President of the Washington State Society of Pathologists.
I am an author of more than 100 peer-reviewed publications and 100 abstracts. In addition, I am a co-author of three academic textbooks on clinical perinatology. Some respected journals that have published my studies include Pediatric and Developmental Pathology: The Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society, Placenta, Journal of Medical Primatology and Archives of Pathology, and Laboratory Medicine.
MD: College of Medicine, Jagiellonian University, Kraków, Poland, 1968.
Internship: Jagiellonian University Hospital, Kraków, Poland, 1968-1970.
PhD: College of Medicine, Jagiellonian University, Kraków, Poland, 1974.
Residencies: University Hospital of Obstetrics and Gynecology, Jagiellonian University, Kraków, Poland, 1970-1976; Georgetown University Medical Center, Washington, DC, and Rush Presbyterian-St.Luke's Medical Center, Chicago, IL, 1990-1994.
Fellowship: Reproductive Endocrinology, Jagiellonian University Hospital of Obstetrics and Gynecology, Kraków, Poland; 1976-1977; Postgraduate Medical Center, Warsaw, Poland.
Certifications: Obstetrics and Gynecology, Polish Board of Obstetrics and Gynecology, 1976; Endocrinology, Postgraduate Medical Center, Poland, 1977; Anatomic and Clinical Pathology, American Board of Pathology, 1994; Pediatric Pathology, American Board of Pathology, 1999.
Perinatal and placental pathology
Pathology
Pathology of in-utero hypoxia and placental pathophysiology
Pathology
Clinical Significance of the Large Fetal Vessel Lesions in Placental Fetal Vascular Malperfusion. Laboratory Investigation. 2024; 104:102089.
Timing of Histological Distal Villous Fetal Vascular Malperfusion in the Placenta: Clinical Significance and Placental Features. Annals of Clinical and Laboratory Science. 2024; 54:289-298.
Placental fetal vascular malperfusion in congenital diaphragmatic hernia. Virchows Archiv: an international journal of pathology. 2024; 484:83-91.
Single Umbilical Artery Umbilical Cord Is Associated With High-Grade Distal Fetal Vascular Malperfusion. Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society. 2024; 27:52-58.
CD34 immunostain increases the sensitivity of placental examination for distal fetal vascular malperfusion in liveborn infants. Placenta. 2023; 140:117-124.
Shallow Placentation: A Distinct Category of Placental Lesions. American Journal of Perinatology: neonatal and maternal-fetal medicine. 2023; 40:1328-1335.
Patterns of placental injury in various types of fetal congenital heart disease. Journal of Perinatal Medicine: official journal of the World Association of Perinatal Medicine. 2023; 51:704-711.
Cesarean section per se is not a risk factor for non-anatomical placenta creta. International Journal of Gynecology and Obstetrics. 2023; 160:969-977.
Umbilical cord compromise versus other clinical conditions predisposing to placental fetal vascular malperfusion. Placenta. 2022; 127:8-11.
Distal villous lesions are clinically more relevant than proximal large muscular vessel lesions of placental fetal vascular malperfusion. Histology and Histopathology: cellular and molecular biology. 2022; 37:365-372.
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