INTRODUCTION

It is a rare mass growth that form inside

the womb (uterus)at the beginning of a
pregnancy.

It is also known as molar pregnancy and

vesicular mole.
 DEFINITION

It is a abnormal condition of placenta where

there are partly degenerative and
proliferative changes in the chorionic villi and
the result in the formation of cluster of small
cyst of varying size ( like bunch of grapes ).
 INCIDENCE
 Highest in Philippines:- 1 in 80
pregnancies
 Lowest in European countries:- 1 in 752
pregnancies
 In case of India:-About 1 in 400
preganancies
 TYPES

Two types of Hydatidiform Mole:-

1)Complete Hydatidiform Mole

2)Incomplete or Partial Hydatidiform
Mole
 COMPLETE HYDATIDIFORM
MOLE
It is placental tissue is abnormal swallon and
appear to form fluid filled cyst and there also
no formation of featal tissue.
 Featus absent

 Uterine size more than the date

 PARTIAL HYDATIDIFORM
MOLE
 May be normal placental tissue along with
abnormally forming placental tissue .
 There also be formation of a featus but the

featus is not able to survive.

 Featus is present.

 Uterine size less than the date.

 AETIOLOGY
1) Maternal age
2 ) Previous molar pregnancy
3) Nutrition
4) Cytogenic abnormality
 SIGNS AND SYMPTOMS
 Dark brown to bright red vaginal bleeding
during 1st triminister
 Sometime gelations fluid also present due to
rupture cyst
 Severe nausea and vomiting
 Sometime vaginal passage of grapes like cyst
 Pelvic pressure or pain
 Other signs ( rapid uterine growth , pre
eclampsia , anaemia
 DIAGNOSIS TEST
 History collection and physical examination
 CBC , ABO , Rh grouping
 Sonography
 X- Ray
 Histological examination
 Urine test ( HCG value increase more then
100,000 mIu / ml )
 CT scan and MRI ( no recommended )
 MANAGEMENT
(A) SUPPORTIVE MANAGEMENT

 I V infusion
 Blood transfusion
 Antibiotics is given
 Blood is kept reserved
(B) DEFINITIVE MANAGEMENT

 Suction evacuation:-
 It is safe rapid and effective in almost all cases

and its done even when the uterus is of 28 th

week gestation.
 Cervix favourable or group a ( mole is in process of
expulsion )
 Cervix unfavourable or group b ( the uterus remains
inert )
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SUCTION EVACUATION

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 MANAGEMENT
 Hystectomy
 Curttage following vaginal

evacuation
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 FOLLOW UP

1. Enquiry about relevant symptom

2. Abdominovaginal examination

3. Investigation  

4. Contraceptive advice
 COMPLICATIONS

 Haemorrhage
 Sepsis
 Perforate uterus
 Precalmsia
Thanking You!

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