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The Conservative Management of a Hydatidiform Mole with Coexistent Living Fetus. A Case Report
Author(s) -
James Christopher
Publication year - 1989
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1989.tb01763.x
Subject(s) - amniocentesis , medicine , obstetrics , gestation , caesarean section , fetus , gynecology , pregnancy , prenatal diagnosis , genetics , biology
EDITORIAL COMMENT: This is the second case we have published of successful prospective management of hydatidiform mole with coexistent living fetus, although in both cases delivery by Caesarean section was required at 29–30 weeks' gestation. A similar successful case recently managed at the Mercy Maternity Hospital following ultrasonographic diagnosis at 16 weeks' gestation (because of hyperemesis gravidarum), also required emergency Caesarean section, at 34 weeks' gestation, because of antepartum haemorrhage due to ‘molar placenta praevia’; the infant was a healthy living female, birth‐weight 1,760 g (case details courtesy of Dr Ian Maclsaac). Khoo et al (10) recommended that such pregnancies be selected for conservative management by performing amniocentesis and determination of chromosomal karotype and amniotic fluid alpha fetoprotein level, a regimen that was put into practice in the case reported by Thomas et al (11) and in Maclsaac's case summarized above.