Molar Pregnancy; Grape Pregnancy
Moles pregnancy is an abnormal condition of the placenta. It is a rare disease and occurs at a rate of 1 in 1000. Moles pregnancy is also known as grape pregnancy among the people. It is also known as gestational transform plastic disease, hydatidiform mole, or just mole.
Growth of abnormal placental tissue in the uterus as a result of an error that occurs during mole pregnancy fertilization. The mole may be fetal tissue very rarely during pregnancy. Growth in mole pregnancy is faster than in normal pregnancy. There are two types of molar pregnancy: complete (complete) and partial (incomplete).
There are only placental fragments. It occurs when the sperm fertilizes the hollow egg. Because the egg is empty, the baby does not form. The pregnancy test is positive because the placenta produces beta hCG. Only the placenta is seen on ultrasound.
An embryo with severe anomalies is seen together with abnormal placental tissue in the uterus.
Pregnant Women at Risk of Moles Pregnancy
Pregnancy over the age of 40
People who have had a previous mole pregnancy
Mole Pregnancy Findings
Extreme nausea and vomiting
• Thyroid diseases can be seen rarely.
Excessive increase in hCG level
• Fetal movement and heartbeat are not seen.
Molar Pregnancy Diagnosis
In the examination, a larger uterus is detected compared to the gestational week. Beta-hCG levels are higher than they should be.
Grape clusters appear on ultrasound. This is why it is also called grape pregnancy.
Mol Pregnancy Treatment
If the mole is detected in pregnancy and abortion is not performed before, the texture similar to a bunch of grapes starts to come from the vagina.
Mol pregnancy should be terminated by abortion. Curettage should be done under anesthesia and the uterine walls should be scraped thoroughly. Sometimes, mole pregnancy can be terminated with medication.
After an abortion, 90% of women do not need other treatment. After the beta hCG level is 0, it should be followed for 1 year. During this period, it should not be protected and pregnant again. No spirals are used for protection.
The probability of having a mole pregnancy again is 1-2% in those who had a molar pregnancy