Molar pregnancy ultrasound and blood tests can show an abnormality that is caused by a problem when an egg and sperms join together during fertilization. This is the abnormality of a placenta. The molar pregnancy occurs in 1 out of every 1,000 pregnancies. This abnormality is rare. Molar pregnancy is also simply referred to as a “mole”, called as hydatidiform mole, or gestational trophoblastic disease (GTD).
I. What is Molar Pregnancy?
Molar pregnancy ultrasound shows the growth of abnormal tissue in the uterus due to the result of the genetic error during the fertilization. Molar pregnancy rarely involves developing embryo, and the growth of the material is rapid compared to normal fetal growth. Molar pregnancy ultrasound appearance is the random and large collection of grape-like cell clusters. There are two types of molar pregnancies that are “partial” and “complete”.
II. What Is a Partial Molar Pregnancy?
A partial molar pregnancy that is shown by using ultrasounds safely occurs when the mass contains an embryo that has severe birth defects and abnormal cells. In this case, the fetus will experience abnormal mass rather quickly.
The rare partial molar version is that when twins are conceived, an embryo begins to develop normally while another is a mole. In this case, abnormal growth will quickly consume the healthy embryo.
III. What Is A Complete Molar Pregnancy?
A complete molar pregnancy is formed when sperms fertilize an empty egg. Therefore, it has only a placental part (no baby). No baby is formed because the egg is empty. The placenta will develop and a mom’s body will produce the pregnancy hormone hCG.
Unfortunately, first ultrasound during pregnancy will show only the placenta. It doesn’t show fetus. Are ultrasounds safe? How do ultrasounds work? Why could ultrasounds be dangerous? how early can you detect a molar pregnancy on ultrasound? You can find out the answer from another review about ultrasound for pregnancy.
IV. What Are The Symptoms of Molar Pregnancy?
How do you detect a molar pregnancy? You can know it from the symptoms. The symptoms are nausea and vomiting, vaginal bleeding or spotting, early preeclampsia (high blood pressure), developing rare complications like thyroid disease, no fetal movement or heart tone detected and increased hCG levels.
V. Who Is At Risk For A Pregnancy Molar?
Molar pregnancy ultrasound shows about 1 in 1,000 pregnancies are a molar pregnancy In the US. In the US, white women are at higher risk than black women. Philippines, Southeast Asia, and Mexico have a higher rate than the US for molar pregnancies in women.
In addition, women who have had prior molar pregnancies are at risk for a pregnancy molar. In addition, women over the age of 40 years and women with a history of miscarriage are women who are at risk of having a molar pregnancy.
VI. How Do I Know If I Have Molar Pregnancy?
The pelvic exam may reveal very high levels of hormone hCG, enlarged ovaries, and larger or smaller uterus. Pregnancy ultrasound week by week often shows the appearance of “cluster of grapes that signifies abnormal placenta.
VII. How Will I Feel Emotionally After A Molar Pregnancy?
Surely you will feel the loss of a child although the removal of a molar pregnancy is not the termination of a developing child. There is no chance of an embryo to develop into a child. Most women find that they have the molar pregnancy after finding pregnancy. Hopes, plans, and dreams are canceled at once. It is a significant loss.
Sadness will be experienced and there has to be a healing time for all involved. Then, people might try to cheer you up with a statement like, “At least it’s not a baby.” At least they know that they are trying even if maybe this does not help. Tell them what you need.
In addition, the continued concerns of mother’s health are what make this type of loss much different from “normal miscarriage”. Make sure you keep your follow-up appointments with your doctor. Furthermore, counseling and supporting groups may prove beneficial.
VIII. How Is A Molar Pregnancy Treated?
A molar pregnancy that is shown by ultrasounds during pregnancy is removed by dilation and evacuation (D & C), suction curettage, and sometimes through medication. During this procedure, general anesthesia is usually used. Most of the molar pregnancies will end spontaneously and the tissue will be shaped like grapes. Follow-up procedures that monitor hCG levels can be performed according to your prescription, usually every month for six months.
This follow-up is done to ensure that a mole has been completely removed. Traces of moles that begin to grow again may have a type of cancer threat to other body parts. However, approximately 90% of women who have the removed mole need no further treatment. Then, after the molar pregnancy, pregnancy should be avoided for a year. In addition, any birth control method is acceptable except the intrauterine device.
That’s the review of the molar pregnancy ultrasound.