Hassan Badawy
Abdulla Bin Omran Maternity Hospital, Egypt
Title: Medical complications of molar pregnancy, anesthetist and Intensivists perspective
Biography
Biography: Hassan Badawy
Abstract
Abnormalities of chorionic villi with trophoblastic proliferation and villous stromal oedema are the characteristics of molar
pregnancy. Moles usually occupy the uterine cavity, but ovary and oviduct can be an ectopic site. Molar pregnancy can
be complete or partial depending on the presence or absence of embryonic elements, respectively. Th e patient may present
with vaginal bleeding, increased uterine size, hyperemesis gravidarum, DIC, pre-eclampsia, hyperthyroidism, or; thyroid
storm, theca lutein ovarian cysts. Trophoblastic embolisation with respiratory distress (RD) can occur rarely in a patient with
complete mole. Cardiopulmonary dysfunction has been observed aft er the removal of benign hydatidiform mole which can
lead to substantial morbidity and mortality. Because of the myriad of presentations of molar pregnancy, the anesthetist has to
be alert and has high index of suspicion to identify and manage these complication early so substantial related morbidity and
mortality can be prevented.