Pathophysiology of Blighted Ovum

Patient’s Name: X Age: 30 years old Sex: Female

Predisposing Factors: Precipitating Factors:

Age: 30 years old - Stress
Sex: Female - Occupation
G3P1 (1011) - Environment

Fertilization

Coitus

Union of ovum and spermatozoa

Fertilized egg implants in the uterus

No menstrual Positive
but doesn't develop into an embryo pregnancy test
period occurred

placenta begins to develop and

Nausea
Sore breast starts to secrete
chorionic gonadotropin (hCG)
Fatigue
Nausea

sac forms and grows,

but the embryo does not develop.
Abdomen grows bigger
like a pregnant woman
 Blighted Ovum

Abdominal and
vaginal pain Bleeding

Dilatation and Curettage

Recovery
 LEGEND

Precipitating Factors
Predisposing Factors

Disease Process Signs

Condition/ Disease Symptoms

Medical Intervention

Intervention Outcome

Flow/ Direction Signs and symptoms not

manifested by patient

Source: Maternal And Child health Nursing 5th Edition

Narrative Pathophysiology

Patient X is a 30 years old female with a gravida and para of G3P1. Patient X’

occupation, stress and environment are the precipitating factors of her condition. Patient

X’ has been admitted and has been diagnosed as having a blighted ovum. It started

when Patient X undergoes fertilization and has experienced coitus with her partner.

During the sexual intercourse there is a union of ovum and spermatozoa however as

the fertilized egg was implanted in the uterus an embryo has not been developed this is

also known as early pregnancy failure and it is a common cause of miscarriage however

with an early pregnancy failure, the patient still get a positive result on a pregnancy test,

because the placenta begins to develop and starts to secrete human chorionic

gonadotropin (hCG), the hormone that these tests look for. Early on, Patient X also has

some common pregnancy symptoms, such as fatigue, nausea, and sore breasts after

some weeks Patient X’ sac forms and grows but the embryo does not develop and this

condition experienced by Patient X is diagnosed as blighted ovum. Later, when the

hormone levels begin to go down, these symptoms will subside and the patient will likely

have spotting or bleeding and abdominal pain. And with this case Patient X has gone

through a procedure called suction curettage or a dilation and curettage (D&C) to

remove the tissue and after a couple of weeks Patient X has recovered.