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    Molar Pregnancy

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    Shalynur
    There are two types of molar pregnancies: complete and partial. A complete molar pregnancy involves abnormal placental tissue growth with no fetal tissue formation, while a partial molar pregnancy involves both normal and abnormal placental tissue along with a non-viable fetus. Symptoms can include vaginal bleeding, nausea, vomiting, and pelvic pain. Diagnosis is based on clinical signs and confirmation of abnormal chromosomes. Treatment involves surgical evacuation of the molar pregnancy tissue and may also include chemotherapy to prevent trophoblastic disease.

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    Molar Pregnancy

    Uploaded by

    Shalynur
    32 views13 pages
    There are two types of molar pregnancies: complete and partial. A complete molar pregnancy involves abnormal placental tissue growth with no fetal tissue formation, while a partial molar pregnancy involves both normal and abnormal placental tissue along with a non-viable fetus. Symptoms can include vaginal bleeding, nausea, vomiting, and pelvic pain. Diagnosis is based on clinical signs and confirmation of abnormal chromosomes. Treatment involves surgical evacuation of the molar pregnancy tissue and may also include chemotherapy to prevent trophoblastic disease.

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    There are two types of molar pregnancies: complete and partial. A complete molar pregnancy involves abnormal placental tissue growth with no fetal tissue formation, while a partial molar pregnancy involves both normal and abnormal placental tissue along with a non-viable fetus. Symptoms can include vaginal bleeding, nausea, vomiting, and pelvic pain. Diagnosis is based on clinical signs and confirmation of abnormal chromosomes. Treatment involves surgical evacuation of the molar pregnancy tissue and may also include chemotherapy to prevent trophoblastic disease.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    32 views13 pages

    Molar Pregnancy

    Uploaded by

    Shalynur
    There are two types of molar pregnancies: complete and partial. A complete molar pregnancy involves abnormal placental tissue growth with no fetal tissue formation, while a partial molar pregnancy involves both normal and abnormal placental tissue along with a non-viable fetus. Symptoms can include vaginal bleeding, nausea, vomiting, and pelvic pain. Diagnosis is based on clinical signs and confirmation of abnormal chromosomes. Treatment involves surgical evacuation of the molar pregnancy tissue and may also include chemotherapy to prevent trophoblastic disease.

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    Molar Pregnancy

    What is MOLAR PREGNANCY or so called


    Hydatidiform?

    A molar pregnancy — also known as hydatidiform mole — is a rare


    complication of pregnancy characterized by the abnormal growth of
    trophoblasts, the cells that normally develop into the placenta.
    Molar pregnancy -- Hydatidiform
    There are two types of molar pregnancy:

    1. Complete molar pregnancy

    • Diploid

    • Placental tissue is abnormal and swollen

    • Appeared to form fluid-filled cysts.

    • No formation of fetal tissues.


    Molar pregnancy --
    Hydatidiform
    2. Partial molar pregnancy

    • Triploid
    • Normal placental tissue along with abnormally forming placental
    tissue.
    • Formation of fetus but not able to survive.
    Pathophysiology:
    Is a pregnancy/conceptus in which the placenta contains grapelike
    vesicles (small sacs) that are usually visible to the naked eye.

    COMPLETE PARTIAL
    Pathophysiology:
    • Fertilization occurs as the sperm enters the ovum. In instances of a partial mole,
    two sperms might fertilize a single ovum.
    • Reduction division or meiosis was not able to occur in a partial mole. In a complete
    mole, the chromosome undergoes duplication.
    • The embryo fails to develop completely. There are 69 chromosomes that develop
    for the partial mole, and 46 chromosomes for the complete mole.
    • The trophoblastic villi start to proliferate rapidly and become fluid-filled grape-like
    vesicles.
    Clinical Manifestation:
    A molar pregnancy may seem like a normal pregnancy at first, but
    most molar pregnancies cause specific signs and symptoms,
    including:

    • Dark brown to bright red vaginal bleeding during the first trimester
    • Severe nausea and vomiting
    • Sometimes vaginal passage of grapelike cysts
    • Pelvic pressure or pain
    Clinical Manifestation:

    Physician may also detect the sign of including the ff:

    • Rapid uterine growth — the uterus is too large for the stage of
    pregnancy
    • High blood pressure
    • Preeclampsia — a condition that causes high blood pressure and
    protein in the urine after 20 weeks of pregnancy
    • Ovarian cysts
    • Anemia
    • Overactive thyroid (hyperthyroidism)
    Nursing Diagnosis:

    1. Deficit fluid volume related to severe nausea and vomiting.


    2. Acute pain related to the hydatidiform mole.
    3. Risk for injury.
    Risk factors

    • Maternal age 35 and below 20


    • Has history of molar pregnancy
    • Nutrition/diet
    • Family history of molar pregnancy
    • Blood type
    Intervention:
    Medical Managment

    • Methotrexate. Physicians may order a prophylactic course of methotrexate,


    which attacks rapidly growing cells like the abnormally growing trophoblastic
    cells.
    • Dactinomycin. This is ordered by the physician once metastasis occurs.
    • Blood transfusion for anemia
    Surgical Management
    • Suction curettage. This is the ideal management of gestational trophoblastic disease,
    to evacuate the mole inside the woman’s uterus and avoid any further complications if
    it stays longer inside the reproductive system.
    Intervention:
    Nursing management
    • Measure abdominal girth and fundal height to establish baseline data regarding the growth
    of the uterus.
    • Assist patient in obtaining a urine specimen for urine test of hCg.
    • Save all pads used by the woman during bleeding to check for clots and tissues she may
    have discharged.
    • Provide your patient with an open environment and a trusting relationship so she would be
    encouraged to express her feelings.
    • Honestly answer the patient’s questions to foster a trusting relationship between nurse and
    client.
    • Provide an assurance that it is not her own fault that this happened to her to lessen her
    sense of guilt and self-blame.
    • Assess the abdominal girth of the pregnant woman to check if it is within the usual landmark
    of pregnancy.
    • Instruct the woman to save all perineal pads containing any clots or tissue that has passed
    out of her during bleeding.
    THANK YOU

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