Practical midwifery; handbook of treatment . o on for some time alongside ofthe mole; and instances have been reported, in which, in twinpregnancy, one amniotic sac was completely filled with mole,Avhile the other contained a healthy foetus. The rapid distention of the uterus, which is the result of thegrowth of the mole, is usually resented by that organ, and resultsin premature delivery, at a time when the uterus has aboutreached the size of a six-months pregnancy, but it may excep-tionally form a tumor of a size equal to that of the normaluterus at term; the liability to serious haemorrhage
Practical midwifery; handbook of treatment . o on for some time alongside ofthe mole; and instances have been reported, in which, in twinpregnancy, one amniotic sac was completely filled with mole,Avhile the other contained a healthy foetus. The rapid distention of the uterus, which is the result of thegrowth of the mole, is usually resented by that organ, and resultsin premature delivery, at a time when the uterus has aboutreached the size of a six-months pregnancy, but it may excep-tionally form a tumor of a size equal to that of the normaluterus at term; the liability to serious haemorrhage increasing inproportion to the increased size of the uterus. Diagnosis.—The most distinctive sign of the existence of hy-datidiform mole is the rapid increase of the uterus to a size greaterthan that which would naturally correspond to the estimatedperiod of pregnancy, together with a i^eculiar and characteristic,elastic, doughy feel of the fundus. It is commonly accompanied bymarked sacral and bearing down pains, and general pelvic dis-. 48 PRACTICAL MIDWIFERY. comfort; and by the other symptoms wliich hchmg to rapid dis-tention of the uterus. As a rule, too, the existence of an hydatidi-form mole is signalized by «an occasional discharge from thevagina of a thin, pink, serous lluid, which is most apt to be seenat the times when the menstrual periods would have been ex-pected. This discharge may contain cysts, the presence of whichis of course sufficient ground for an absolute diagnosis. It mayoften be distinguished from htemorrhages due to placenta prasviaby the fact that it usually begins before the termination of thefirst three months, that is, at a i)eriod when placenta prjevia is, ofcourse, imi^ossible. The non-existence of a fotus may be deter-mined bj the absence of ballottement, in spite of the fact thatthe uterus is of the size proper to the fifth or sixth month, andthis sign becomes strongly suggestive of the existence of a mole ata period which coiTesponds as a
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmidwifery, bookyear18
