Does cerclage improve neonatal outcomes in a molar pregnancy and a coexistent fetus? A case report

Complete hydatiform mole and coexistent viable fetus is very rare. The use of a cervical cerclage for cervical indications in the presence of this condition has never been reported. Although the diagnosis was made postnatal, the objective is to present a case with good neonatal outcome. A patient pr...

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Bibliographic Details
Published in:BMC research notes 2012-11, Vol.5 (1), p.621-621, Article 621
Main Authors: Aguin, Eduardo, Aguin, Victor, Cisneros, Ligia, Aguin, Tina, Van de Ven, Cosmas, Bahado-Singh, Ray
Format: Article
Language:English
Subjects:
Abortion
Amniocentesis
Case Report
Cerclage
Cerclage, Cervical
Consent
Female
Humans
Hydatidiform Mole - physiopathology
Infant, Newborn
Infants (Newborn)
Molar pregnancy
Neonatal outcome
Obstetrics
Patient education
Pregnancy
Pregnancy Outcome
Pregnant women
Premature birth
Ultrasonic imaging
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Summary:Complete hydatiform mole and coexistent viable fetus is very rare. The use of a cervical cerclage for cervical indications in the presence of this condition has never been reported. Although the diagnosis was made postnatal, the objective is to present a case with good neonatal outcome. A patient presented with vaginal spotting around 23 weeks. She has a history of four preterm deliveries. Her cervix was dilated and a cerclage was placed. She presented again with PPROM around 25 weeks. She went into spontaneous preterm labor and delivered a viable fetus that is a healthy girl today. Eventually the pathology of the placenta showed a complete hydatidiform mole. It is necessary to inform patients about the potential risks and poor outcomes of this condition. For those who desire all potential interventions, cerclage placement could be considered.
ISSN:1756-0500
1756-0500
DOI:10.1186/1756-0500-5-621