- Abnormal development of placental villi into grapelike cysts filled with viscid material.
- More common for those with Asian heritage, older gravida, and after induction of ovulation with Clomiphene therapy.
- Uterus is larger than AOG, soft and full lower segment on palpation; brown vaginal discharges during 12th week onwards; hypertension.
- Diagnosis: High HCG level; no FHR or palpable fetal parts; ultrasound shows no fetal skeleton.
- May be malignant-choriocarcinoma.
- Requires suction curettage or hysterectomy.
- Client needs to have HCG testing every month for a year while using a reliable contraceptive. METHOTREXATE is the drug of choice for prophylaxis.
HYATIDIFORM MOLE
