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What is Molar Pregnancy?
Molar pregnancy is an unnatural maternity , which results from a genetic error during fertilization leading to the abnormal growth of tissues inside the womb . Molar pregnancies occur 1 out of every 1000 pregnancies and are call up as gestational trophoblastic diseases or hydatidiform mole . Molar gestation is characterise by the appearing of grape like bunch in the uterus .
What are the Types of Molar Pregnancy?
The molar maternity can be complete or fond .
The complete molar gestation takes place when the sperm cell fertilize an empty bollock and bear only the placental parts . The placenta raise pregnancy endocrine HCG and theultrasoundshows no fetus . The complete molar maternity has the genetic fabric from the father and is parallel , and no familial fabric from the female parent ( either lost or inactivated ) .
The fond molar gestation contains both the abnormal cellular phone and severe birth fault embryo . In this state of affairs , the mother ’s chromosome remains and the father provides two sets of chromosome resulting in 69 chromosome for the embryo .
What are the Risk Factors for Molar Pregnancy?
Some of the factors , which increase the risk of molar pregnancy are :
What are the Symptoms of Molar Pregnancy?
Some of the common symptoms seen in molar maternity are : vaginal catching ; sickness ; disgorgement ; thyroid disease ; early preeclampsia ; increased HCG spirit level , no fetal motion ; absence of foetal heart rate ; vaginal passage of grape like vesicle ; pelvic pressure or pain ; speedy uterine growth;ovarian cysts ; dark brownness to bright scarlet vaginal bleeding in first trimester and anemia .
How to Diagnose Molar Pregnancy?
The diagnosing of molar maternity can be done by :
Pelvic Examination : Pelvic examination let on large or small womb with enlarged ovaries .
origin Test : rip exam done in molar pregnancy reveals gamey levels of HCG .
Ultrasound : The ultrasonography shows the characteristic cluster of grape appearing of molar pregnancy , suggesting abnormal growth of placenta .
How is Molar Pregnancy Treated?
Dilation & Curettage : The molar pregnancy ordinarily results in spontaneous abortion where the grapevine like bunch is expelled . The molar pregnancy is end or removed by dilation and curettement by under ecumenical anaesthesia and done by an OB / GYN MD .
Chemotherapy & Surgery : The persistent gestational trophoblastic neoplasia of molar pregnancy is treated with either chemotherapy or hysterectomy . The choriocarcinoma arise as a complication from GTN is treated with multiple cancer drugs .
What are the Associated Complications of Molar Pregnancy?
Persistent Molar Tissue : The molar tissue may remain in the uterus and lead to unyielding gestational trophoblastic neoplasia even after removal . This may occur either with partial or complete molar pregnancy .
Spreading of Cancerous Tissue : The cancerous form of GTN can run to choriocarcinoma and spread to other organs . This is mostly seen with over molar gestation than the fond molar gestation .
Emotional Wellbeing of the Patient Post Molar Pregnancy
There are chances of the patient role experiencing natural depression due to molar pregnancy as the dream , Hope , plan of have a sister are shattered . The sufficient healing time for the mother who has suffered from molar pregnancy is around 6 months to 1 yr and this period of time is advise for the affected role before conceive again . Support group and counseling may be beneficial in convalescence for the patient who has had a molar pregnancy .
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