Page 94 - Critical Maternity & Newborn Health Nursing

• The selected method depends on the size of the uterus, whether

partial expulsion has already occurred or not, the patient's age and

fertility desire.

• Cross - matched blood should be available before starting.

(I) Suction evacuation: It is carried out under general anesthesia,

(II) Hysterotomy: It may be needed for evacuation of a large mole to

minimize and facilitate control of bleeding.

(III)Hysterectomy: It should be considered in women over 40 years who

have completed their family for fear of developing choriocarcinoma.

(IV)Medical induction: Oxytocin and / or prostaglandins may be used to

encourage expulsion of the mole but must always be followed by surgical

evacuation

Nursing Management for Gestational Trophoblast

Disease

Nurses must also take action during the critical stages of the pregnancy.

We must be able to function on our own while waiting for any orders from

the physician.

Nursing Assessment

• Assess the abdominal girth of the pregnant woman to check if it

is within the usual landmark of pregnancy.

• Assess for signs and symptoms of pregnancy induced

hypertension, because for a woman with H-mole, they occur

th
earlier than the 20 week of pregnancy.

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