Incidence and Outcomes of Hydatidiform Mole in Basra Maternity Hospital

Abstract

Objective: To determine the incidence and outcome of molar pregnancy in Basra maternity and
child hospital.
Methods: 55 cases of molar pregnancy had been diagnosed by clinical history, physical
examination and investigations especially ultrasound scan. Those patients were managed as
primary measure by dilatation and curettage once or twice depend on the case and then followed
by serial βHCG measurement.
Those with persistent rise HCG despite treatment or with persistent bleeding classified as persistent
gestational trophoblastic disease and referred to chemotherapy.
Results: current study shows that the incidence of molar pregnancy in our hospital about 5.2%
mainly recorded among those with age of 30-39 years, multiparus patients and those with low
socioeconomic class.
Vaginal bleeding was the most common presenting symptom among attendants, less commonly
hyperemesis gravidarum and large for date uterus.
Molar pregnancy was seen more commonly in those with previous history of molar pregnancy
(19.10%) and those with history of previous abortion (21.2%).
81.8% of cases shows complete remission after they had their first and/ or second evacuation, only
9.1% of cases they had persistent gestational trophoblastic disease for which they were shifted for
chemotherapy.
Conclusion: In conclusion early ultrasound examination which remain the main pool in the
diagnosis of molar pregnancy is mandatory for those patients with history of early pregnancy
bleeding, hyperemesis gravidarum and large for date uterus.
Because 9.1% of cases remain as persistent gestational trophoblastic disease despite their first and
/ or second evacuation so serial measurement of βHCG is mandatory for all cases so that early
detection and management of persistent gestational trophoblastic disease will be most beneficious
for those patient.