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Gynaecology & Obstetrics Gestational Trophoblastic Disease 48f8875b

A woman complains of excessive vomiting and mild vaginal bleeding for two weeks at a POA of 12 weeks. The fundal height corresponds of 16 weeks. The cervical os is closed. Ultrasound scan demonstrates a snowstorm appearance in part of the uterus together with a foetus. The crown-rump length corresponds to 10 weeks. The fetal heart beat is absent. What is the best management option?

A
Carry out medical termination with vaginal misoprostol
B
Carry out medical termination with an oxytocin infusion
C
Perform suction evacuation
D
Perform a total abdominal hysterectomy
High-Yield Explanation
Ans. is c, i.e. Perform suction evacuationSuction evacuation is the method of choice, for evacuation of a partial molar pregnancy.

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