HYDATIDIFORM MOLE: A REVIEW OF MANAGEMENT OUTCOMES IN A TERTIARY HOSPITAL, SIR T HOSPITAL, BHAVNAGAR

Authors

  • Vasava Amarpali Puransinh Department of Obstetrics and Gynaecology, Government Medical Collage Bhavnagar and Sir T Hospital, Bhavnagar, Gujarat.
  • Kanaklata D. Nakum Department of Obstetrics and Gynaecology, Government Medical Collage Bhavnagar and Sir T Hospital, Bhavnagar, Gujarat.
  • Aditi Vithal Department of Obstetrics and Gynaecology, Government Medical Collage Bhavnagar and Sir T Hospital, Bhavnagar, Gujarat.

DOI:

https://doi.org/10.32553/ijmbs.v4i10.1453

Keywords:

Hydatidiform mole, suction evacuation, human chorionic gonadotrophin

Abstract

Hydatidiform mole is the non- malignant form of gestational trophoblastic neoplasia. The prevalence of 1:250 to 1:500 has been reported which vary widely in different parts of the world. Therefore, Knowledge of prevalence and associated risk factors may add value in the management outcomes of molar pregnancy in our setting. 20 women who clinically diagnosed with hydatidiform mole  in Tertiary Hospital, Sir T Hospital, Bhavnagar were included in study. The diagnosis of HM was based on a pelvic ultrasonography, quantitative estimation of the serum beta human chorionic gonadotrophin (B-hCG) and confirmed by histopathologic specimen taken during suction evacuation. 60% patients were of age between 20-25 years, 60% patients had gestational period between 1-2 months. All 20 patients had bleeding PV. 1 patient developed PIH. 2 patients had ovarian enlargement. 1 patient had invasive mole. No patient had choriocarcinoma. 55% patient developed hyperthyroidism. 1 patient had complication of pulmonary embolism. All 20 patients were treated by uterine suction and evacuation. The use of Ultrasonography in the evaluation of vaginal bleeding in early pregnancy, as well as histologic evaluation of products of conception,  is important in early diagnosis and treatment H- mole. There is need for early recognition, timely referral, prompt and proper treatment of this condition.

Keywords: Hydatidiform mole , suction evacuation , human chorionic gonadotrophin (B-hCG)

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Published

2020-10-10

How to Cite

Puransinh, V. A., Nakum, K. D., & Vithal, A. (2020). HYDATIDIFORM MOLE: A REVIEW OF MANAGEMENT OUTCOMES IN A TERTIARY HOSPITAL, SIR T HOSPITAL, BHAVNAGAR. International Journal of Medical and Biomedical Studies, 4(10). https://doi.org/10.32553/ijmbs.v4i10.1453

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Section

Research Articles