Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 423 views

    Hydatidiform Mole

    Uploaded by

    jean therese
    A hydatidiform mole is a rare abnormal pregnancy characterized by an abnormal placenta and no fetus (complete mole) or abnormal placenta and some fetal development (partial mole). It occurs when an egg is fertilized by two sperm or the egg is not fertilized properly. Symptoms include rapid uterine enlargement, vaginal bleeding, and hyperemesis gravidarum. Diagnosis involves ultrasound, HCG blood tests, and examination. Treatment is surgical removal by D&C or medication to induce miscarriage. Follow up is needed due to risk of persistent GTD.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd

    Hydatidiform Mole

    Uploaded by

    jean therese
    423 views18 pages
    A hydatidiform mole is a rare abnormal pregnancy characterized by an abnormal placenta and no fetus (complete mole) or abnormal placenta and some fetal development (partial mole). It occurs when an egg is fertilized by two sperm or the egg is not fertilized properly. Symptoms include rapid uterine enlargement, vaginal bleeding, and hyperemesis gravidarum. Diagnosis involves ultrasound, HCG blood tests, and examination. Treatment is surgical removal by D&C or medication to induce miscarriage. Follow up is needed due to risk of persistent GTD.

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    A hydatidiform mole is a rare abnormal pregnancy characterized by an abnormal placenta and no fetus (complete mole) or abnormal placenta and some fetal development (partial mole). It occurs when an egg is fertilized by two sperm or the egg is not fertilized properly. Symptoms include rapid uterine enlargement, vaginal bleeding, and hyperemesis gravidarum. Diagnosis involves ultrasound, HCG blood tests, and examination. Treatment is surgical removal by D&C or medication to induce miscarriage. Follow up is needed due to risk of persistent GTD.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    423 views18 pages

    Hydatidiform Mole

    Uploaded by

    jean therese
    A hydatidiform mole is a rare abnormal pregnancy characterized by an abnormal placenta and no fetus (complete mole) or abnormal placenta and some fetal development (partial mole). It occurs when an egg is fertilized by two sperm or the egg is not fertilized properly. Symptoms include rapid uterine enlargement, vaginal bleeding, and hyperemesis gravidarum. Diagnosis involves ultrasound, HCG blood tests, and examination. Treatment is surgical removal by D&C or medication to induce miscarriage. Follow up is needed due to risk of persistent GTD.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    You are on page 1of 18

    Hydatidiform

    Mole
    (H.Mole)
    Prepared by:
    Jean Therese P. Nicolas
    B3
    I. Definition

    A hydatidiform mole is a rare mass


    or growth that forms inside the
    uterus at the beginning of a
    pregnancy. It is a type of
    gestational trophoblastic disease
    (GTD). Also called Molar Pregnancy.

     Is growth of an abnormal fertilized
    egg or an overgrowth of tissue
    from the placenta.

    2 types

     Partial molar pregnancy- means


    there is an abnormal placenta and
    some fetal development.

     Complete molar pregnancy- there
    is an abnormal placenta but no
    fetus.

    Complete hydatidiform mole

    Partial hydatidiform mole with


    fetus
    Risk Factors

     Prior molar pregnancy


     Extremes of reproductive age
     Age under 20 years
     Age over 45 years
     Twin Gestation
     High parity
    Signs and Symptoms

     Women may feel as if she was


    pregnant, but the uterus enlarges
    much more rapidly than in a normal
    pregnancy
     Vaginal Bleeding during pregnancy in
    3rd-4th month
     Hyperemesis Gravidarum
     Passage of grapelike villi from the
    uterus
     Abdominal Pain early in pregnancy
     Pallor or Dyspnea
     Associated with Anemia
     Anxiety and Tremor
    PATHOPHYSIOLOGY
    III. Laboratory and
    Diagnostic Exam
     A pelvic examination
     A pregnancy ultrasound
     HCG blood test
     CT or MRI of the abdomen

    IV. Medical Management
     Medical Care

    o Stabilize the patient.


    o Transfuse for anemia.
    o Correct any coagulopathy.
    o Treat hypertension.
    o
     Medical management
     Prostaglandins are the most commonly used
    agents, owing to their ability to induce uterine
    contractions and thus expel the products of
    conception. Prostaglandins can be given orally,
    vaginally, or rectally, and administration is often
    preceded by oral mifepristone, which primes the
    uterus by allowing local production of
    prostaglandins (normally suppressed by
    progesterone).
     Misoprostol useful to help uterus expel products of
    Surgery

     Suction dilation and curettage


    (D and C) — This is a surgical
    procedure used to remove
    noncancerous hydatidiform moles.
    The opening in the cervix is dilated
    and the inside uterus lining is
    scraped (curetted) clean using
    suction and another spoonlike
    instrument.

    Surgery
     Removal of the uterus
    (hysterectomy) — This is used
    rarely to treat hydatidiform moles
    but may be chosen, particularly if
    the woman does not want to
    become pregnant again. It may be
    done through the abdomen or the
    vagina.
    V. Nursing Management

     Obtain baseline vital signs


     Preoperatively, observe the pt. for
    signs of complications, such as
    hemorrhage, uterine infection, and
    vaginal passage of vesicles
     Save any expelled tissue for laboratory
    analysis
     Prepare the pt. physically and
    emotionally for surgery, if indicated
     Post operatively, monitor v/s and fluid
    intake and output, and assess for
    Nursing Management

     Encourage the pt. and her family to


    express their feelings
     Offer emotional support, and help
    them through the grieving process
     Help the pt. and her family develop
    effective coping stress strategies,
    referring them to a mental health
    professional, if needed

    You might also like