Bleeding Cases in Obstetrics

GROUP 4
SUPPORTING LECTURER : Dr. SRI SUMARNI, M.Mid.
MEMBER’S NAME:

1 WINDHA MELLYNIA P1337424418011

2 SHERLY PERMATA SARI P1337424418021

3 DIYAN GITA PUTRI AJI P1337424418040

WHAT ARE COMPLICATIONS IN
PREGNANCY?

Diseases/complications/discorities that
occur during pregnancy, either in
TRIMESTER I, II, or III
 ABORTION

PREGNANCY
COMPLICATI
ONS
HYDATIDIFORM MOLE
IN
TRIMESTER I,
II, III
INTERRUPTED ECTOPIC
PREGNANCY
HYDATIDIFORM MOLE
 HYDATIDIFORM MOLE

It is a trophoblast abnormality in pregnancy, which is in the villi. cells korialis

forming white bubbles (clumped like grapes), contains fluid that will cause
failure in the formation of the fetus, so that these cells will develop into cells
hydropic increase hCG hormone Hydatidiform mole is also known as
gestational trophoblastic disease (PTG). which can develop into malignancy
or choriocarcinoma.
CLASSIFICATION OF HYDATIDIFORM MOLE

COMPLETE MOLE PARTIAL MOLE

The results of conception

experience growth into cells the
Choreous villi cells embryo is accompanied by the
develop into completely growth of trophoblast cells at
hydropic cells. there is no the same time Fetal
fetus development is usually stunted
and most die within a few weeks
conception week
SIGNS AND SYMPTOMS OF HYDATIDIFORM
MOLE

Abnormal Uterine Growth Nausea, severe vomiting

• More than the gestational age of fetus

Symptoms of
hyperthyroidism
Vaginal bleeding in the first 3 • Heat intolerance
months • Fast heart rate
• Restless, nervous
• Skin is warmer and moist than usual
PREDISPOTITION FACTORS
PREGNANT AT
TOO YOUNG OR
TOO OLD AGE

BLOOD GROUP A HISTORY OF

OR B MOLE

BETA
CAROTENE
DEFICIENCY

ORAL
SMOKE
CONTRACEPTION
 DIAGNOSIS

Mole
• Severe nausea and vomiting
• Uterine size larger than gestational age
• No intrauterine fetus found
• Tachycardia, palpitations (signs of thyrotoxicosis)
Abortion mole
• Vaginal bleeding in the form of spotting to many
• Stomach pain
• Open cervix
• Out of tissue like grapes, no fetus
 SUPPORTING INVESTIGATION
Laboratory
• Levels of the hormone hCG (to see the possibility of potential malignancy and follow-up)
• Complete peripheral blood examination to detect anemia
• Thyroid hormone examination if there are signs of thyrotoxicosis

Ultrasound
• Identify mole features (there are specific features, such as nests) wasps or blizzards) –
complete moles do not show a fetus, but in a partial mole can be found a picture of the
fetus
• See if there is a lutein cyst

Thorax photo: to identify possible metastases

 GOVERNANCE
CANNOT BE DONE IN BASIC HEALTH FACILITIES, MOM MUST BE REFERRED TO HEALTH
FACILITIES WITH FULL FACILITIES

STABLE THE PATIENT’S

MUST BE CONSIDERED
CONDITION

PREPARE BLOOD FOR

TRANSFUSION

COAGULOPATHY
CORRECTION

TREAT HYPERTENSION

OBSERVATION OF
POSSIBLE THYROID CRISIS
 COMPLICATIONS

BLEEDING MALIGNANCY

UTERI
THYROTOXICOSIS
PERFORATION

TROPOBLASC CELLS
EMBOLISM
Thank You