How do you evacuate a molar pregnancy?

How do you evacuate a molar pregnancy?

Suction curettage is the method of choice of evacuation for complete molar pregnancies. Suction curettage is the method of choice of evacuation for partial molar pregnancies except when the size of the fetal parts deters the use of suction curettage and then medical evacuation can be used.

What is Mole evacuation?

Suction evacuation and curettage is the preferred method of evacuation of a hydatidiform mole, independent of uterine size, for patients who wish to maintain their fertility.

What will be the management for H mole?

To treat a molar pregnancy, your doctor will remove the molar tissue from your uterus with a procedure called dilation and curettage ( D&C ). A D&C is usually done as an outpatient procedure in a hospital.

Which instruction should be given to the client being discharged after evacuation of a hydatidiform mole?

Avoid strenuous activity and get plenty of rest for 2 days after surgery as directed by your healthcare provider. Return to your normal activities after 48 hours. You may also return to work at that time. Don’t drive for 24 hours after the procedure.

How long does it take to recover from a molar pregnancy?

For most women, this will take about 6 months. If you have GTN, you will need to wait for 12 months after you have finished chemotherapy treatment. This is because GTN can sometimes come back.

Is hydatidiform mole malignant?

A hydatidiform mole contains many cysts (sacs of fluid). It is usually benign (not cancer) but it may spread to nearby tissues (invasive mole). It may also become a malignant tumor called choriocarcinoma. Hydatidiform mole is the most common type of gestational trophoblastic tumor.

What are the signs and symptoms of hydatidiform mole?

Symptoms

• Abnormal growth of the uterus, either bigger or smaller than usual.
• Severe nausea and vomiting.
• Vaginal bleeding during the first 3 months of pregnancy.

What is an important assessment parameter in H mole?

Diagnosis of Hydatidiform Mole If women have a hydatidiform mole, results are positive, but no fetal movement and no fetal heartbeat are detected. Blood tests to measure the level of human chorionic gonadotropin (hCG—a hormone normally produced early in pregnancy) are done.

What is a partial molar pregnancy?

A partial molar pregnancy is a variation of a molar pregnancy, an abnormal pregnancy in which an embryo (the fertilized egg) either develops incompletely, or doesn’t develop at all. Instead, a cluster of grape-like cysts (known as a hydatidiform mole) grows in the uterus.

How do you know if you have a partial molar pregnancy?

The most prominent symptom of a molar pregnancy is heavy bleeding from the vagina early in the pregnancy. The blood may be dark brown. Symptoms of a partial molar pregnancy include severe nausea, vomiting, and hypertension (high blood pressure) early in the pregnancy, often in the first trimester.

Is a partial molar pregnancy twins?

A partial hydatidiform mole occurs with an unviable fetus, and thus gestation should be terminated. On the other hand, placental mesenchymal dysplasia and a twin molar pregnancy can coexist with the presence of a viable and normal fetus. In such cases, the pregnancy may be allowed to progress.

How are hydatidiform moles treated in the hospital?

Hydatidiform Mole Treatment & Management 1 Medical Care. Stabilize the patient. Transfuse for anemia, and correct any coagulopathy. 2 Surgical Care. Evacuation of the uterus by dilation and curettage is always necessary. 3 Long-Term Monitoring. Serial quantitative serum beta-hCG levels should be determined.

When do hCG levels drop after a hydatidiform mole evacuation?

Normal levels are usually reached within 8-12 weeks after evacuation of the hydatidiform mole. As long as the hCG levels are falling intervention is not needed. [ 46]

Can a hydatidiform mole cause bleeding in early pregnancy?

Molar pregnancy information and causes | Patient A hydatidiform mole is a growing mass of tissue inside your womb (uterus) that will not develop into a baby. It is the result of abnormal conception. It may cause bleeding in early pregnancy and is usually picked up in an early pregnancy ultrasound scan.

How does a complete hydatidiform mole look like?

Complete hydatidiform moles undergo early and uniform hydatid enlargement of villi in the absence of an ascertainable fetus or embryo, the trophoblast is consistently hyperplastic with varying degrees of atypia, and villous capillaries are absent.

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