A Cross-Sectional Study of Clinical Analysis and Management of Molar Pregnancy

To study the common presentations and to evaluate diagnostic tools and management of molar pregnancy.

This was a prospective study of 100 patients who were diagnosed with molar pregnancy. After remission, post molar pregnancy surveillance was continued for one year. Patients whose condition required chemotherapy for GTT were attributed a FIGO/WHO score.

Out of the 100 H. mole cases, complete mole constituted 59% and partial mole 41%. The mean age was 22.82 years. Molar pregnancies were more frequent in pauciparous patients (52.24%). At diagnosis, the mean gestational age was 12.37 years. The main presenting symptom was metrorrhagia (64%). Treatment consisted of uterine evacuation by suction. Histological findings were complete mole in 59% of cases and partial mole in 41% of the cases. 92 patients (92%) achieved remission without chemotherapy and 5 patients (5%) had low risk GTT. They achieved remission with a monotherapy.

The early diagnosis of H. mole by USG had given a good impact on early diagnosis and management of its sequeale thus reducing markedly patients’ morbidity and mortality.