Clinical Presentation and Management of Hydatidiform Mole in a Peripheral Tertiary Hospital

  • Jaglul Haider Khan Assistant professor, Obstetric & Gynaecology, Dhaka Medical College
  • Jannatul Ferdous Associate professor, Gynaecological Oncology, BSMMU
  • Samiya Alam Assistant register, Obstetric & Gynaecology, FMCH
Keywords: Peripheral, Tertiary

Abstract

This study was conducted in Faridpur Medical College Hospital, Faridpur, from January 2008  to December 2008 among fifty patients, diagnosed as a case of molar pregnancy. Incidenc of  molar pregnancy was 8.27 per thousand pregnancy. Sixty percent of the patients were multiparous  and eighty percent of low socio economic status . B positive blood group was prevalent (36%)  in this study.Sixty percent( 60%) of the patients presented with amenorrhoea and abnormal  vaginal bleeding.. Most of the patients (72%) were treated with suction evacuation and curettage.  Of them hemorrhage was the most common immediate complication (80%). Complication  like shock and perforation during evacuation was 14% and 4% respectively. Three patient  (6%) developed Persistent Gestational Trophoblastic Disease(GTD) and one (2%) patient  developed choriocarcinoma with lung metastasis and died. Thirty two (64%) patients attended  for regular follow up but ten patients (20%) had attended irregularly and eight patients (16%)  had dropped out .This study shows that follow up for molar pregnancy cases is not satisfactory  in a district medical college hospital.Further improvement can be done by increasing awareness  of the patients.

DOI: http://dx.doi.org/10.3329/bjog.v25i2.13741

Bangladesh J Obstet Gynaecol, 2010; Vol. 25(2) : 59-64

 

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Abstract
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Published
2013-02-11
How to Cite
Khan, J., Ferdous, J., & Alam, S. (2013). Clinical Presentation and Management of Hydatidiform Mole in a Peripheral Tertiary Hospital. Bangladesh Journal of Obstetrics & Gynaecology, 25(2), 59-64. https://doi.org/10.3329/bjog.v25i2.13741
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Original Articles