H Mole Case Presentation
H Mole Case Presentation
H Mole Case Presentation
MOLE
GESTATIONAL TROPHOBLACTIC
DISEASE
What is Gestational Trophoblastic disease?
COMPLETE PARTIAL
▪ Passage of vessicles
▪ TRIAD SIGNS : Big uterus, Vaginal bleeding
(brownish and intermittent) HCG greater than 1
million
▪ Ultrasound – no fetal sac, no fetal skeleton
TREATMENT
• Advise bedrest
• Monitor VS, blood loss, molar/tissue passage, I&O
• Maintain fluid and electrolyte balance, plasma and blood volume through
replacements as ordered.
• Prepare for D&C, Hysterectomy
• Provide psychological support
• Emphasize the need for follow up HCG titer determination for one year
• Reinforce instructions on NO PREGNANCY FOR ONE YEAR: give
intstruction related to contraceptions