Hydatiform Mole

Hydatiform mole 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, hypertension.

Diagnosis: high HCG level, no FHR or palpable fetal parts, ultrasound shows no fetal skeleton.

Maybe malignant-choriocarcinoma and requires suction curettage or hysterectomy.

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

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