Blood Mole - Bleeding In Early Pregnancy

 Blood Mole 

Occasionally mixed abortion may progress to blood mole. This is a smooth brownish red mass which contains the fetus and the placenta and it is completely surrounded by the capsular deciduas. The mole usually forms before 12th week and it is retained in the uterus for a period of months. Later the fluid is extracted from the blood and the fleshy, firm hard mass that is remaining is known as a Carneous Mole. On histological investigation the fetus may be found in the centre of the mass.

 

Treatment

Protaglandin E2 pessaries will be inserted into the vagina to ripen the cervix followed by i.v. oxytocin – dosage adjusted according to uterine activities. Analgesic to relief pains. Observation of the mother.

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