Molar Pregnancy; Grape Pregnancy

Molar Pregnancy; Grape Pregnancy

Molar pregnancy is an abnormal condition of the placenta. It is a rare disease and occurs at a rate of 1 in 1000. Molar pregnancy is also known as grape pregnancy among the public. It is also known as gestational traphoblastic disease, hydatiform mole or just mole.

Molar pregnancy is the growth of abnormal placental tissue in the uterus as a result of an error during fertilization. Very rarely, there may be fetal tissue in a molar pregnancy. Growth in a molar pregnancy is faster than in a normal pregnancy. There are two types of mole pregnancy: complete (complete) and partial (incomplete).

Complete Mole

There are only placenta parts. It occurs as a result of the sperm fertilizing the hollow egg. Since the egg is empty, a baby cannot be formed. The pregnancy test is positive because the placenta produces beta hCG. Only the placenta is seen on ultrasound.

Partial Mole

An embryo with serious anomalies is seen in the uterus along with abnormal placental tissue.

Pregnant Women at Risk of Molar Pregnancy

• Pregnancy over the age of 40
• Those who have had a molar pregnancy before
• Those who have had a miscarriage
• Black race
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Molar Pregnancy Signs

• Spotting
• Extreme nausea and vomiting
• Thyroid diseases can be seen rarely.
• Preeclampsia in the early period
• High increase in hCG level
• Fetal movement and heartbeat are not observed.

Molar Pregnancy Diagnosis

In examination A larger uterus is detected depending on the week of pregnancy. Beta-hCG levels are higher than they should be.
Ultrasound looks like a bunch of grapes. That's why it is also called grape pregnancy.

Mole Pregnancy Treatment

If mole pregnancy is not detected before and curettage is not performed, tissue similar to a bunch of grapes begins to come from the vagina.
Molar pregnancy should be terminated by abortion. Abortion should be performed under anesthesia and the uterine walls should be thoroughly scraped. Sometimes molar pregnancy can be terminated with drug treatment.
90% of women after abortion do not need any other treatment. After the beta hCG level becomes 0, it should be followed for 1 year. During this period, it is protected and You should not get pregnant. IUD is not used for protection.
The probability of having a molar pregnancy again in those who have had a molar pregnancy is 1-2%

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