Hydatidiform Molar Pregnancy. Defined as proliferation and degeneration of the chorion A benign neoplasm of the chorion The embryo fails to develop in most cases Occurs in 1 of 2000 pregnancies More often in low socioeconomic groups with low protein diets
Following a miscarriage, the chance of having another miscarriage with the next pregnancy is about 1 in 6.
When it is performed at the request of the woman "for reasons other than maternal health or fetal disease.
No abdominal pain or mild abdominal pain
The cervix is closed
The uterus is usually the correct size for date
Because those patients are liable to late pregnancy complications such as APH and preterm labour .
In some cases there may be a history of :
NB : DIC does not occur before 5 weeks of missed abortion or IUFD and if occurred will be of mild grade
Indicated in 1st trimester missed abortion
Cytotec: Indicated in 1st & 2nd trimesters missed abortions.
In cases of incomplete, inevitable, complete, missed & septic abortions
With support and good antenatal care , the chance of successful spontaneous pregnancy is about 60-70%