{"id":"https://openalex.org/W7215714937","doi":"https://doi.org/10.22487/5j9b3a33","title":"Maternal Malperfusion and Placental Necrosis in Sudden Maternal Death: A Forensic and Histopathological Case Analysis of Severe Preeclampsia","display_name":"Maternal Malperfusion and Placental Necrosis in Sudden Maternal Death: A Forensic and Histopathological Case Analysis of Severe Preeclampsia","publication_year":2026,"publication_date":"2026-07-31","ids":{"openalex":"https://openalex.org/W7215714937","doi":"https://doi.org/10.22487/5j9b3a33"},"language":"en","primary_location":{"id":"pmh:oai:jurnal.fk.untad.ac.id:article/2147","doi":"https://doi.org/10.22487/5j9b3a33","is_oa":true,"landing_page_url":"https://jurnal.fk.untad.ac.id/index.php/htj/article/view/2147","pdf_url":"https://jurnal.fk.untad.ac.id/index.php/htj/article/download/2147/895","source":{"id":"https://openalex.org/S4210216537","display_name":"Healthy Tadulako Journal (Jurnal Kesehatan Tadulako)","issn_l":"2407-8441","issn":["2407-8441","2502-0749"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310314972","host_organization_name":"Tadulako University","host_organization_lineage":["https://openalex.org/P4310314972"],"host_organization_lineage_names":["Tadulako University"],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.22487/19525d48","raw_type":"info:eu-repo/semantics/article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://jurnal.fk.untad.ac.id/index.php/htj/article/download/2147/895","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5155225771","display_name":"Jasa Nita Listiana","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210127772","display_name":"International University of Batam","ror":"https://ror.org/031dk8f13","country_code":"ID","type":"education","lineage":["https://openalex.org/I4210127772"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Listiana, Jasa Nita","raw_affiliation_strings":["School of Medicine, Universitas Internasional Batam, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, Universitas Internasional Batam, Indonesia","institution_ids":["https://openalex.org/I4210127772"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059794470","display_name":"Annisa Anwar Muthaher","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I98301867","display_name":"Hasanuddin University","ror":"https://ror.org/00da1gf19","country_code":"ID","type":"education","lineage":["https://openalex.org/I98301867"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Muthaher, Annisa Anwar","raw_affiliation_strings":["Department of Forensic and Medicolegal, Faculty of Medicine Hasanuddin University, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Forensic and Medicolegal, Faculty of Medicine Hasanuddin University, Indonesia","institution_ids":["https://openalex.org/I98301867"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110998966","display_name":"Afriani Early","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I98301867","display_name":"Hasanuddin University","ror":"https://ror.org/00da1gf19","country_code":"ID","type":"education","lineage":["https://openalex.org/I98301867"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Early, Afriani","raw_affiliation_strings":["Department of Forensic and Medicolegal, Faculty of Medicine Hasanuddin University, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Forensic and Medicolegal, Faculty of Medicine Hasanuddin University, Indonesia","institution_ids":["https://openalex.org/I98301867"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5155514387","display_name":"Muh Husni Cangara","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I98301867","display_name":"Hasanuddin University","ror":"https://ror.org/00da1gf19","country_code":"ID","type":"education","lineage":["https://openalex.org/I98301867"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Cangara, Muh Husni","raw_affiliation_strings":["Department of Anatomical Pathology, Faculty of Medicine Hasanuddin University, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anatomical Pathology, Faculty of Medicine Hasanuddin University, Indonesia","institution_ids":["https://openalex.org/I98301867"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153600900","display_name":"Ressy Dwiyanti","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I140942544","display_name":"Tadulako University","ror":"https://ror.org/01z0mc198","country_code":"ID","type":"education","lineage":["https://openalex.org/I140942544"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Dwiyanti, Ressy","raw_affiliation_strings":["Faculty of Medicine Tadulako University, Palu, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Medicine Tadulako University, Palu, Indonesia","institution_ids":["https://openalex.org/I140942544"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057270725","display_name":"Andini Febrianty","orcid":"https://orcid.org/0009-0002-7444-1100","observed_orcids":["https://orcid.org/0009-0002-7444-1100"]},"institutions":[{"id":"https://openalex.org/I3132802412","display_name":"Muhammadiyah University of Makassar","ror":"https://ror.org/03kc2e209","country_code":"ID","type":"education","lineage":["https://openalex.org/I3132802412"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Febrianty, Andini","raw_affiliation_strings":["Faculty of Medicine University of Muhammadiyah Makassar, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Medicine University of Muhammadiyah Makassar, Indonesia","institution_ids":["https://openalex.org/I3132802412"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106531322","display_name":"Zulfikar Gaffar Assegaf","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I3132802412","display_name":"Muhammadiyah University of Makassar","ror":"https://ror.org/03kc2e209","country_code":"ID","type":"education","lineage":["https://openalex.org/I3132802412"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Assegaf, Zulfikar Gaffar","raw_affiliation_strings":["Faculty of Medicine University of Muhammadiyah Makassar, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Medicine University of Muhammadiyah Makassar, Indonesia","institution_ids":["https://openalex.org/I3132802412"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5091637705","display_name":"Aries Maulana","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210127772","display_name":"International University of Batam","ror":"https://ror.org/031dk8f13","country_code":"ID","type":"education","lineage":["https://openalex.org/I4210127772"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Maulana, Aries","raw_affiliation_strings":["School of Medicine, Universitas Internasional Batam, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, Universitas Internasional Batam, Indonesia","institution_ids":["https://openalex.org/I4210127772"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.72552727,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10290","display_name":"Pregnancy and preeclampsia studies","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10290","display_name":"Pregnancy and preeclampsia studies","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12464","display_name":"Neurological Complications and Syndromes","score":0.00419999985024333,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12296","display_name":"Autopsy Techniques and Outcomes","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/severe-preeclampsia","display_name":"severe preeclampsia","score":0.996999979019165},{"id":"https://openalex.org/keywords/hypertensive-disorders-of-pregnancy","display_name":"hypertensive disorders of pregnancy","score":0.8610000014305115},{"id":"https://openalex.org/keywords/placental-pathology","display_name":"placental pathology","score":0.8399999737739563},{"id":"https://openalex.org/keywords/maternal-vascular-malperfusion","display_name":"maternal vascular malperfusion","score":0.8569999933242798},{"id":"https://openalex.org/keywords/placental-necrosis","display_name":"placental necrosis","score":0.9150000214576721},{"id":"https://openalex.org/keywords/proteinuria","display_name":"proteinuria","score":0.703000009059906},{"id":"https://openalex.org/keywords/forensic-autopsy","display_name":"forensic autopsy","score":0.40400001406669617},{"id":"https://openalex.org/keywords/mechanism-of-death","display_name":"mechanism of death","score":0.5099999904632568}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8439000248908997},{"id":"https://openalex.org/C544855455","wikidata":"https://www.wikidata.org/wiki/Q1070952","display_name":"Histopathology","level":2,"score":0.7378000020980835},{"id":"https://openalex.org/C2777218350","wikidata":"https://www.wikidata.org/wiki/Q61335","display_name":"Preeclampsia","level":3,"score":0.7376999855041504},{"id":"https://openalex.org/C2779071755","wikidata":"https://www.wikidata.org/wiki/Q21685486","display_name":"Forensic pathology","level":3,"score":0.7337999939918518},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.5961999893188477},{"id":"https://openalex.org/C2779504383","wikidata":"https://www.wikidata.org/wiki/Q41482","display_name":"Autopsy","level":2,"score":0.5842000246047974},{"id":"https://openalex.org/C46973012","wikidata":"https://www.wikidata.org/wiki/Q28627","display_name":"Gestation","level":3,"score":0.5562999844551086},{"id":"https://openalex.org/C2908892503","wikidata":"https://www.wikidata.org/wiki/Q1339474","display_name":"Maternal death","level":3,"score":0.5562999844551086},{"id":"https://openalex.org/C2779561371","wikidata":"https://www.wikidata.org/wiki/Q570197","display_name":"Proteinuria","level":3,"score":0.5491999983787537},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.5375999808311462},{"id":"https://openalex.org/C2781082648","wikidata":"https://www.wikidata.org/wiki/Q3502951","display_name":"Fibrinoid necrosis","level":4,"score":0.5005999803543091},{"id":"https://openalex.org/C2776953305","wikidata":"https://www.wikidata.org/wiki/Q1212935","display_name":"Placenta","level":4,"score":0.48840001225471497},{"id":"https://openalex.org/C2780109559","wikidata":"https://www.wikidata.org/wiki/Q2592062","display_name":"Fetal distress","level":4,"score":0.44179999828338623},{"id":"https://openalex.org/C2993353509","wikidata":"https://www.wikidata.org/wiki/Q411867","display_name":"Sudden death","level":2,"score":0.3671000003814697},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.3628999888896942},{"id":"https://openalex.org/C2777350860","wikidata":"https://www.wikidata.org/wiki/Q2425407","display_name":"Acute tubular necrosis","level":3,"score":0.35589998960494995},{"id":"https://openalex.org/C3018745865","wikidata":"https://www.wikidata.org/wiki/Q749115","display_name":"Postpartum period","level":3,"score":0.326200008392334},{"id":"https://openalex.org/C2780472472","wikidata":"https://www.wikidata.org/wiki/Q424337","display_name":"Acute kidney injury","level":2,"score":0.30640000104904175},{"id":"https://openalex.org/C503630168","wikidata":"https://www.wikidata.org/wiki/Q178069","display_name":"Necrosis","level":2,"score":0.3061999976634979},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.30570000410079956},{"id":"https://openalex.org/C2780229479","wikidata":"https://www.wikidata.org/wiki/Q7312498","display_name":"Renal papillary necrosis","level":3,"score":0.305400013923645},{"id":"https://openalex.org/C29374701","wikidata":"https://www.wikidata.org/wiki/Q1931388","display_name":"Cause of death","level":3,"score":0.3034999966621399},{"id":"https://openalex.org/C172680121","wikidata":"https://www.wikidata.org/wiki/Q26513","display_name":"Fetus","level":3,"score":0.29490000009536743},{"id":"https://openalex.org/C2781385326","wikidata":"https://www.wikidata.org/wiki/Q2272222","display_name":"Chorionic villi","level":5,"score":0.2685000002384186},{"id":"https://openalex.org/C205854390","wikidata":"https://www.wikidata.org/wiki/Q5610493","display_name":"Gross examination","level":2,"score":0.26260000467300415},{"id":"https://openalex.org/C2781276381","wikidata":"https://www.wikidata.org/wiki/Q552348","display_name":"Eclampsia","level":3,"score":0.25929999351501465}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:jurnal.fk.untad.ac.id:article/2147","doi":"https://doi.org/10.22487/5j9b3a33","is_oa":true,"landing_page_url":"https://jurnal.fk.untad.ac.id/index.php/htj/article/view/2147","pdf_url":"https://jurnal.fk.untad.ac.id/index.php/htj/article/download/2147/895","source":{"id":"https://openalex.org/S4210216537","display_name":"Healthy Tadulako Journal (Jurnal Kesehatan Tadulako)","issn_l":"2407-8441","issn":["2407-8441","2502-0749"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310314972","host_organization_name":"Tadulako University","host_organization_lineage":["https://openalex.org/P4310314972"],"host_organization_lineage_names":["Tadulako University"],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.22487/19525d48","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"pmh:oai:jurnal.fk.untad.ac.id:article/2147","doi":"https://doi.org/10.22487/5j9b3a33","is_oa":true,"landing_page_url":"https://jurnal.fk.untad.ac.id/index.php/htj/article/view/2147","pdf_url":"https://jurnal.fk.untad.ac.id/index.php/htj/article/download/2147/895","source":{"id":"https://openalex.org/S4210216537","display_name":"Healthy Tadulako Journal (Jurnal Kesehatan Tadulako)","issn_l":"2407-8441","issn":["2407-8441","2502-0749"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310314972","host_organization_name":"Tadulako University","host_organization_lineage":["https://openalex.org/P4310314972"],"host_organization_lineage_names":["Tadulako University"],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.22487/19525d48","raw_type":"info:eu-repo/semantics/article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9763000011444092,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7215714937.pdf","grobid_xml":"https://content.openalex.org/works/W7215714937.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W1576249624","https://openalex.org/W1976868429","https://openalex.org/W2034492080","https://openalex.org/W2036954961","https://openalex.org/W2044659285","https://openalex.org/W2092282228","https://openalex.org/W2330142490","https://openalex.org/W2341276202","https://openalex.org/W2399942170","https://openalex.org/W2762298757","https://openalex.org/W2792956190","https://openalex.org/W2883007310","https://openalex.org/W2884263591","https://openalex.org/W2896158465","https://openalex.org/W2910154696","https://openalex.org/W2935104625","https://openalex.org/W2960659672","https://openalex.org/W3087168500","https://openalex.org/W3124398277","https://openalex.org/W3207420069","https://openalex.org/W4211032164","https://openalex.org/W4402919925","https://openalex.org/W4404908830","https://openalex.org/W4415293864"],"related_works":["https://openalex.org/W2323820584","https://openalex.org/W3094237333","https://openalex.org/W4392173226","https://openalex.org/W2800625267","https://openalex.org/W11409187","https://openalex.org/W2031899664","https://openalex.org/W2947493322","https://openalex.org/W2304061418","https://openalex.org/W2033577150","https://openalex.org/W7128231310"],"abstract_inverted_index":{"Background:":[0],"Sudden":[1],"maternal":[2,27,138,143,147,159,173],"death":[3,28,160,183],"associated":[4,175],"with":[5,32,142,176,192],"hypertensive":[6],"disorders":[7],"of":[8,38,49,56,67,137,153,157,182],"pregnancy":[9],"can":[10],"be":[11],"difficult":[12],"to":[13,42],"interpret":[14],"when":[15,190],"clinical":[16,33,79,194],"and":[17,34,41,47,87,100,111,134,150,195],"autopsy":[18],"documentation":[19],"is":[20,188],"incomplete.":[21],"Objectives:":[22],"To":[23],"describe":[24],"a":[25,30,57],"sudden":[26,158],"in":[29],"woman":[31,63],"placental":[35,50,84],"findings":[36,105,149,165],"suggestive":[37],"severe":[39,168],"preeclampsia":[40,169],"emphasize":[43],"the":[44,171,179],"diagnostic":[45],"value":[46],"limitations":[48],"histopathology.":[51,88],"Methods:":[52],"A":[53],"forensic":[54,196],"case":[55],"29-year-old":[58],"gravida":[59],"3":[60],"para":[61],"2":[62],"at":[64,73],"32":[65],"weeks":[66,91],"gestation":[68],"who":[69],"was":[70,75,118],"found":[71],"dead":[72],"home":[74],"reviewed":[76],"using":[77],"available":[78],"records,":[80],"laboratory":[81],"findings,":[82],"toxicology,":[83],"gross":[85],"examination,":[86],"Results:":[89],"Two":[90],"before":[92],"death,":[93],"headache,":[94],"blurred":[95],"vision,":[96],"epigastric":[97],"pain,":[98],"hypertension,":[99],"proteinuria":[101,107],"were":[102,161],"documented.":[103],"Laboratory":[104],"included":[106],"+3,":[108],"hematuria":[109],"+1,":[110],"serum":[112],"creatinine":[113],"2.1":[114],"mg/dL.":[115],"Toxicological":[116],"screening":[117],"negative.":[119],"The":[120,164],"placenta":[121],"showed":[122],"pale,":[123],"firm":[124],"infarcted":[125],"areas.":[126],"Histopathology":[127],"demonstrated":[128],"focal":[129],"villous":[130],"necrosis,":[131],"ghost":[132],"villi,":[133],"fibrinoid":[135],"necrosis":[136],"spiral":[139],"arteries,":[140],"consistent":[141],"vascular":[144],"malperfusion.":[145],"Complete":[146],"organ":[148],"full":[151],"exclusion":[152],"other":[154],"major":[155],"causes":[156],"unavailable.":[162],"Conclusions:":[163],"strongly":[166],"support":[167],"as":[170],"underlying":[172],"condition":[174],"death;":[177],"however,":[178],"immediate":[180],"mechanism":[181],"remains":[184],"undetermined.":[185],"Placental":[186],"histopathology":[187],"valuable":[189],"integrated":[191],"complete":[193],"evaluation.":[197]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-10-03T00:00:00"}
