Hydatidiform Mole or Vesicular Mole

Hydatidiform mole (Vesicular Mole)
-it is an abnormal development of placental villi into grapelike cysts filled with viscid material.

It is more common for those with Asian heritage, older gravida, and after induction of ovulation with Clomiphene therapy.
Uterus is larger than AOG, soft and full lower segment on palpation
brown vaginal discharges during 12th week onwards
persistent bleeding

Diagnosis of Hydatidiform (Vesicular) Mole

high HCG level
no FHR or palpable fetal parts
ultrasound shows no fetal skeleton.
increased nausea and vomiting

Management for Hydatidiform (Vesicular) Mole

monitoring and management of shock by blood transfusion or IV therapy
mole is removes by vacuum aspiration or curettage
educate on avoiding pregnancy for at least one year
educate on the need to monitor HCG for 1 year
if there is rise in HCG, further treatment (hysterectomy or chemotherapy) is required

Client needs to have HCG testing every month for a year while using a reliable contraceptive.
Methotrexate is the drug of choice for prophylaxis.

Ultrasound of Hydatidiform Mole or Vesicular Mole