The uterus is rather filled with the mole that resembles a bunch of grapes. The fluid filled vesicles grow rapidly, which can make the uterus seem larger than it should be for gestational age. Because there is no placenta to receive the blood typically you will see bleeding into the uterine cavity or vaginal bleeding.
Partial Mole
This most frequently occurs when two sperm fertilize the same egg. There may be partial placentas, membranes or even a fetus present in a partial mole. However, there are usually genetic problems with the baby. Rarely, a partial mole will exist with twin pregnancy, however, the other twin rarely survives.
Symptoms
Symptoms include:
Increased nausea and vomiting
Vaginal bleeding
Increased hCG levels
Rapidly growing uterus
Pregnancy induced hypertension prior to 24 weeks
No fetal movement or heart tone detected
Hyperthyroidism
Pulmonary Embolization
Diagnosis
Most of the time a molar pregnancy will spontaneously end. When the woman passes tissues that appear to be grape like and shows them to her practitioner then a molar pregnancy is suspected.
Ultrasound can also help determine a molar pregnancy. When doing an ultrasound one sees a “snow storm effect" on the screen.
Serial hCG levels can show a rapid rise in hCG that may indicate that further study is needed
วันจันทร์ที่ 3 กันยายน พ.ศ. 2550
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