Blighted ovum

By:  Dr. Umesh N Jindal On:  August 31, 2016 7:00 AM
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Definition: A blighted ovum is a common type of miscarriage. It happens when a fertilized egg implants in the uterus but the resulting embryo either stops developing very early or doesn’t form at all. Basically it’s an ultrasonographic finding when one can diagnose the early embryonic growth arrest.

Symptoms:

Patient will report as pregnancy test positive with either no symptoms or spotting per vaginum along with all signs of early pregnancy like nausea, vomiting, lethargy / weakness, sore breast, etc.

Diagnosis:

Confirmation occur with help of USG testing and comparison with period of pregnancy.

Treatment:

It is not advisable to wait for long time for the deformed pregnancy to expel by itself. So suction and evacuation / D & C is used to remove the tissue. More important is the mental trauma to the couple. This needs counseling and convincing them that this process is very common. It is better to avoid repeat pregnancy for at least 2 months before trying again. There is no need to wait for very long. Generally blighted ovum is a random occurrence and chances of repetition are quite low. Even after two blighted ova cases there is no need to panic.