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Unformatted text preview: Molar pregnancy Treatment 1. Give fluids, B-Blockers (if signs of hyrotoxicosis), and supportive care 2. Treat urgently with termination of pregnancy 3. If desire future pregnancy = dilation and evacuation 4. If no desire for future pregnancy = hysterectomy 5. Hyperemesis gravidarum = give metoclopramide (5-10 mg intravenously/intramuscularly every 8 hours until symptoms settle) 6. Start chemotherapy for GTN becomes persistent after evacuation (retained elevavated B-hcg) Prognosis More than 80% of hydatidiform moles are benign. The outcome after treatment is usually excellent. Close follow-up is essential. Highly effective means of contraception are recommended to avoid pregnancy for at least 6 to 12 months. In 10 to 15% of cases, hydatidiform moles may develop into invasive moles. This condition is named persistent trophoblastic disease (PTD). The moles may intrude so far into the uterine wall that hemorrhage or other complications develop. It is for this reason that a post-operative full abdominal and hemorrhage or other complications develop....
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- Fall '10