Conclusions In our study, thus we have identified not only the incidence of molar pregnancies at our institution which serves as the largest tertiary care facility for the entire province of Pakistan and neighboring Afghanistan, but also highlighted the significant morbidity, management strategies, and associated complications. Mary suffered from this on two occasions and ultimately died childless. They are also very grateful to the hard work put in by Maaz Khan Afghan and Najia Kasi for helping recompile parts of the thesis earlier and their help in some of the data entry. After their initial management, patients were noted to be classified into low risk or high risk group based on Goldstein’s Mole Prognosis Scoring system [ 12 ] and received prophylactic single-agent chemotherapy with methotrexate if they fell into the high risk group score of more than 4. All these patients were noted to be older than 40 and had complete their family planning. Even though, an attempt was made to follow these patients for 2 years, at government hospitals and due to the fact that a bulk of these patients are refugees, followup is a challenging task. This data would really be helpful in the context of the city which serves as the tertiary referral center for all the cases from the largest province of the country of Pakistan.
Mahrukh’s FCPS degree but has not been published in any form in any journal or publication. Excessive uterine size is one of the classic signs of HM. Excessive uterine size is one of the classic signs of HM. This article has been cited by other articles in PMC. This is similar to another series from Turkey, where only 1 patient needed emergency surgery for torsion [ 9 ]. The authers are deeply indebted to the department of Obstetrics and Gynecology for their constant support and encouragement. Received Jun 25; Accepted Aug
They usually produce symptoms like pelvic pressure and discomfort in many patients. Able to void freely in adequate amount. Risks for medical therapy include bleeding, infection, possible incomplete abortion, and possible failure of the medication to work.
He was told by the messenger that the Queen had felt the child in her womb quicken. Open in a separate window. Suction, dilatation, and curettage were noted to be the preferred method of management in 62 If considerable amount of blood loss has occurred, aggressive hydration, iron therapy or transfusions may be indicated.
Results and Discussion As noted above, 85 patients 0. The authers are deeply indebted to the department of Obstetrics and Gynecology for their constant support and encouragement. PowerPoint PPT presentation free to view. People belonging to different castes live here along with many refugees who were from the adjacent war-torn country of Afghanistan and migrated during the early s and s.
In our study population as noted in Table 2most of the patients in the high risk group who received single-agent chemotherapy after surgical evacuation had a sharp regression curve while most of the patients in group B had a slow fall over 6—8 weeks.
American Journal of Obstetrics and Gynecology. In our study, thus we have identified not only the incidence of molar scriibd at our institution which serves as the largest tertiary care facility for the entire province scribf Pakistan and neighboring Afghanistan, but also highlighted the significant morbidity, management strategies, and associated complications.
Given our institutional setting and the demographics, we would advocate the prophylactic chemotherapy for the high risk group since followup is not entirely reliable.
Good range of motion. Effects of prophylactic chemotherapy for persistent trophoblastic disease in patients with complete hydatidiform mole.
Incomplete abortion case study scribd
Table 2 Diagnosis, management of HM, and associated complications. Journal of the College of Physicians and Surgeons Pakistan.
Furthermore, records after transfer of the gynecology department to another institution were not available for review. The examination reveals some blood in the vaginal vault a closed cervical os and no tenderness of the cervix, uterus, adnexa, or abdomen. Problems in Early Pregnancy – Severe vomiting may cause weight loss and electrolyte imbalance.
Both suction and sharp curettage specimens were submitted to the hydatisiform of pathology for histopathological examination and confirmed the diagnosis in all of our cases. Mahrukh’s FCPS degree but has not been published in any form in any hydaitdiform or publication.
mola hydatidosa pdf viewer – PDF Files
Scfibd mole or commonly known as molar pregnancy The study was a prospective study carried out at the largest tertiary care government hospital in the city of Quetta in Balochistan, the largest province in Pakistan. As noted above, 85 patients 0. Sonographic findings and clinical correlations in molar pregnancy. Although hydatidiform mole is more common in primigravidas, in our study most patients were multigravida.
Ethical approval for the study was obtained from the Department of Obstetrics and Gynaecology, Bolan Medical College, Quetta, Pakistan, as well as the local ethical committee for research, and the research conducted was performed according to the Declaration of Helsinki. Persistent is when elevation of BhCG is found after 16 weeks of evacuation.
Various terms are used in this context. As noted above, 85 patients 0. Accumulation of clot in the uterine cavity without expulsion due to uterine atony. Monitor vaginal bleeding through pad count. Ethical approval for the study was obtained from the Department of Obstetrics and Gynaecology, Bolan Hydatidifor College, Quetta, Pakistan, as well as the local ethical committee for research, and the research conducted was performed according to the Declaration of Helsinki.