ABSTRACT
Background: Cervical complete molar pregnancy is very rare and fatal and surgical intervention makes it lethal. Case report: A 37 years G2P1L1 with previous cesarean section 4 years back, had presented with brisk vaginal bleeding after evacuation at private hospital 2 days back. She was admitted in labor room,VSS Medical College, Burla at 9 pm on 22.04.2012 as an emergency case. USG report which was done at our institute, showed cervical invasive mole with right ovarian cyst. She was managed with methotrexate and no other intervention was required, as her serum b-hCG was declining. Now, she is having a normal pregnancy. Conclusion: Surgical intervention in such situations is very fatal. We propose her to go for a fertility sparing medical management.
ABSTRACT
Traditionally, overt hypothyroidism cases during pregnancy have been treated due to its adverse effect on fetus as well as on mother. Evidences are now available for the need of treatment of subclinical hypothyroidism (SCH) during pregnancy. SCH is the commonest form of hypothyroidism in pregnancy and is usually due to progressive thyroid destruction due to autoimmune thyroid disease. The prevalence and incidence of SCH is found to be more in South Asia than other parts of the world. This review revealed that screening should be mandatory followed by identification of antithyroid antibody positive cases because they require treatment with oral levothyroxine.