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Molar Pregnancy or Slighted Ovum

mole, vesicular, time and enlargement

MOLAR PREGNANCY OR SLIGHTED OVUM.

Flesh-mole.—Sometimes the product of con ception dies without abortion speedily occur ring. Owing to some part of it remaining connected with the womb, growth goes on, the membranes undergoing thickening and de generation. This may continue till at length a fleshy mass is discharged, called the flesh mole.

Vesicular Mole.—In other eases one of the membranes undergoes a peculiar development, so that a mass is produced resembling a bunch of currants, when seen floating in water coloured with some of the discharged blood, like a mass of "white currants in red currant juice." This is the vesicular mole.

Symptoms.—In each case the woman usually suspects something is wrong. The usual symp toms of pregnancy are experienced for a time, but the enlargement of the belly is much more rapid than usual. In the case of the fleshy mole, the growth is so rapid that at the end of the third month the enlargement is as great as is customary at the end of the fifth. In the case of the vesicular mole the normal symptoms go on till about the third month, and then enlargement becomes very rapid, and is more towards the side than upwards. The other usual symptoms are indistinct, the patient feels differently from what she did in other pregnancies. Watery discharges, mixed with

blood, may occur, and the feelings of movement of the child are not experienced.

The mole is usually expelled after six months. It has sometimes occurred in twin pregnancy that one of the ova has undergone such degene ration, and the other has followed a normal development, so that at the sixth month a living child has occupied the womb along with a vesicular mole. In such a case the danger is that the expulsive efforts of the womb do not end with ridding it of the mole, but go on to the expulsion of the fcetus at a time when it cannot survive. Some cases are recorded, how ever, in which the mole was expelled, and a healthy living child was born at the full time.

Treatment of such eases rests, of course, with a physician. In any case where such cannot be obtained soon, and there is considerable watery and bloody discharge, especially if some of the currant-like material has been expelled and shows clearly the nature of the case, error can hardly be committed by giving full doses (tea-spoonfiil) of the liquid extract of ergot of rye, every two or three hours, as long as seems necessary to restrain loss of blood.