Hydatidiform mole - action Flashcards
What is a hydatidiform mole?
A type of gestational trophoblastic disease characterized by abnormal trophoblastic tissue growth in the uterus after fertilization
Also known as a molar pregnancy
What are the two types of hydatidiform moles?
- Complete mole
- Partial mole
What is the primary diagnostic tool for a hydatidiform mole?
Ultrasound
What pattern is revealed in a complete mole during an ultrasound?
‘Snowstorm’ pattern
What is the significance of elevated beta-hCG levels?
Indicative of gestational trophoblastic disease (GTD)
What type of examination confirms the diagnosis after evacuation of a hydatidiform mole?
Histopathological examination
What is the preferred method for evacuating molar tissue from the uterus?
Suction Dilation and Curettage (D&C)
What preparations are necessary before the evacuation procedure?
- Blood type and cross-matching
- Establish intravenous access
What type of anesthesia is typically used for the evacuation of a hydatidiform mole?
Local or general anesthesia
What is essential for postoperative care after the evacuation?
Monitoring vital signs and managing recovery
What should be administered if the patient is Rh-negative?
Rh immunoglobulin
How often should hCG levels be monitored post-evacuation?
- Weekly until normalization
- Monthly for an additional 6 to 12 months
What is the recommended period to avoid pregnancy after a hydatidiform mole?
6 to 12 months
What type of contraceptives can be used post-evacuation?
- Non-hormonal
- Hormonal (based on preference and medical suitability)
Why is emotional support important after a hydatidiform mole diagnosis?
To address psychological impact and provide counseling referrals as needed
What is persistent gestational trophoblastic neoplasia (GTN)?
A condition where hCG levels plateau or rise, indicating the potential need for chemotherapy
What should be monitored if there’s suspicion of malignant transformation in GTN?
Frequent sites of metastasis, such as the lungs
What risk factors may lead to a hydatidiform mole?
- Advanced maternal age
- History of prior molar pregnancy
What is the importance of early prenatal care for patients with risk factors for hydatidiform mole?
To receive early ultrasound evaluation in future pregnancies
True or False: There is a proven method to prevent a hydatidiform mole.
False
Fill in the blank: Managing a hydatidiform mole involves careful _______ of the abnormal tissue.
evacuation
