HYDATIDIFORM MOLE

MEDICAL MANAGEMENT
It is a abnormal condition of the INCLUDE DRUG THERAPY
placenta where there are partly
degenerative and proliferative changes  MANAGEMENT
in the chorionic villi and the result in the - Blood transfusion
formation of cluster of small cyst of - Hystectomy
varying size.
 DRUG THERAPY
- IV Infusion
PREDISPOSING FACTORS - Antibiotics is given

 Age over 40 years old

 High parity
NURSING MANAGEMENT

PATHOPHYSIOLOGY  Remember to assess the BP,

check if the patient is
Explanation: bleeding profusely, and make
hydatidiform mole develops, the
embryo is usually either absent or dead. sure to notify the doctor
The mole, a collection of sacs (cysts) immediately.
containing a jellylike substance,  Teach deep breathing
resembles clusters of grapes and can techniques to alleviate the
attain a great size. Most of the moles
pain. Use diversional
are expelled in about the 20th week of
pregnancy. The moler pregnancy is activities if possible.
usually terminated by suction curettage.  Check for abdominal pain,
In a few cases, the mole spreads into assess the abdominal area
the muscle of the uterus and causes
for signs of internal
bleeding.
bleeding (e.g. Cullen’s)
 If nausea and vomiting are
LABORATORY AND present, make sure the
DIAGNOSIS EXAM patient would not aspirate it.
LABORATORY and DIAGNOSIS  After D&C patient is at risk
for infection. Make sure the
- Complete blood count, ABO test,
patient has good perineal
Sonography, X-ray, Urine test, CT scan
and MRI of the abdomen, HCG Blood hygiene.
test  Administer all medications as
ordered. Observe the 10 Rs
 Remember that this might
very hard for the patient to
accept, make sure to provide
emotional support. Explain to
 HYDATIDIFORM MOLE

the patient that it is not her fault

this happened.
 Discussed the family planning
methods available for her.
Remember to reiterate the
importance of
 monitoring the hCG level and
follow-ups.

HEALTH TEACHING / ADVICE

 Avoid strenuous activity and get
plenty of rest for 2 days after
surgery as directed by your
healthcare provider.
 Return to your normal activities
after 48 hours. You may also return
to work at that time.
 Don’t drive for 24 hours after the
procedure.
 Don't have sexual intercourse or
use tampons or douches until you
see your healthcare provider for a
follow-up appointment. You need
to avoid pregnancy for a year after
the molar pregnancy. It is
important that you choose a birth
control method.