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The Diagnosis of Hydatidiform Mole by the Combined Use of the Doppler Fetal Pulse Detector and the Contact Hysteroscope
Author(s) -
BajaPanlilio Herminia,
Siongco Marietta,
Firmalo Eduardo C.,
So Julieta
Publication year - 1982
Publication title -
asia‐oceania journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0389-2328
DOI - 10.1111/j.1447-0756.1982.tb00571.x
Subject(s) - fetus , hysteroscopy , medicine , obstetrics , pregnancy , uterus , in utero , cervix , gynecology , biology , genetics , cancer
This study is an attempt at making the diagnosis of Hydatidiform Mole faster and more accurate than present methods both clinical and laboratory, will allow. It utilizes the Doppler Fetal Pulse Dectector to rule out a normal live fetus, and the Contact Hysteroscope to visualize the walls of the uterus for the pathology in question, without the use of a distending medium. Materials for the study consists of 40 cases of suspected Hydatifidorm Mole. Soon after the clinical history and physical examination of the patients are completed, at the same sitting, the Doppler Fetal Pulse Detector is used which picks up various sounds due to the fetus, the utero‐placental unit and the mother. The identification of a placental souffle indicates a pregnancy. Scanning the lower abdomen for fetal heart sounds when negative indicates either a dead fetus or an abnormal pregnancy (H. Mole). Contact Hysteroscopy follows and this is done without any anesthesia. No dilatation of the cervix may be necessary since the pregnant cervix is dilatable enough to allow insertion of the stem of the instrument to pass through. Identification of cystic structures clinches the diagnosis. Results are presented which includes complications and efficacy of this combined diagnostic procedure. Accuracy of diagnosis is measured by confirmation of the evacuated material.