Pathophysiology of Blighted Ovum Patients Name: X Predisposing Factors: Age: 30 years old Sex: Female G3P1 (1011) Age:

30 years old Sex: Female Precipitating Factors: - Stress - Occupation - Environment

Fertilization

Coitus

Union of ovum and spermatozoa

No menstrual period occurred

Fertilized egg implants in the uterus but doesn't develop into an embryo

Positive pregnancy test

Sore breast

placenta begins to develop and starts to secrete chorionic gonadotropin (hCG)

Nausea

Fatigue
Nausea

sac forms and grows, but the embryo does not develop.
Abdomen grows bigger like a pregnant woman

Blighted Ovum

Abdominal and vaginal pain

Bleeding

Dilatation and Curettage

Recovery

LEGEND

Predisposing Factors

Precipitating Factors

Disease Process

Signs

Condition/ Disease

Symptoms

Medical Intervention

Intervention Outcome

Flow/ Direction

Signs and symptoms not manifested by patient

Source: Maternal And Child health Nursing 5th Edition

Narrative Pathophysiology Patient X is a 30 years old female with a gravida and para of G3P1. Patient X occupation, stress and environment are the precipitating factors of her condition. Patient X has been admitted and has been diagnosed as having a blighted ovum. It started when Patient X undergoes fertilization and has experienced coitus with her partner. During the sexual intercourse there is a union of ovum and spermatozoa however as the fertilized egg was implanted in the uterus an embryo has not been developed this is also known as early pregnancy failure and it is a common cause of miscarriage however with an early pregnancy failure, the patient still get a positive result on a pregnancy test, because the placenta begins to develop and starts to secrete human chorionic gonadotropin (hCG), the hormone that these tests look for. Early on, Patient X also has some common pregnancy symptoms, such as fatigue, nausea, and sore breasts after some weeks Patient X sac forms and grows but the embryo does not develop and this condition experienced by Patient X is diagnosed as blighted ovum. Later, when the hormone levels begin to go down, these symptoms will subside and the patient will likely have spotting or bleeding and abdominal pain. And with this case Patient X has gone through a procedure called suction curettage or a dilation and curettage (D&C) to remove the tissue and after a couple of weeks Patient X has recovered.