A molar pregnancy is when there's a problem with a fertilised egg, which means a baby and a placenta do not develop the way they should after conception. A molar pregnancy will not be able to survive. It happens by chance and is very rare. If you have a molar pregnancy, there is support available to help you. You may find out during your 1st
pregnancy ultrasound scan at around 8 to 14 weeks. Some people find out after their pregnancy ends with a miscarriage. Finding out you have a molar pregnancy can be very difficult. A doctor or midwife can give you advice about the support that's available. Urgent advice: Call a midwife or GP if:You're pregnant and:
What happens nextIf a midwife or doctor thinks you have a molar pregnancy, you'll need:
Treatment for a molar pregnancyA molar pregnancy will not be able to survive. It may end on its own, with a miscarriage. If this does not happen, it's usually treated with a procedure to remove the pregnancy. You'll usually be given a general anaesthetic before the procedure, so you'll be asleep. Sometimes you might be able to take medicine to end a molar pregnancy. Follow-up careAfter treatment for a molar pregnancy you'll have regular blood and urine tests to check your hCG hormone level is returning to normal. If your hormone level does not return to normal you will need further treatment. Sex, contraception, and trying for a baby after a molar pregnancyYou can have sex as soon as you feel ready, but it's important to use contraception while you're getting follow-up care. Talk to a GP about what type of contraception is right for you. Having a molar pregnancy does not affect your chances of getting pregnant again. But it's important to wait until your doctor tells you it's safe before you start trying for a baby. Causes of a molar pregnancyA molar pregnancy happens by chance. It's not caused by either parent doing something wrong. You may be more likely to have a molar pregnancy if:
Types of molar pregnancyA molar pregnancy is sometimes called a hydatidiform mole. There are 2 types of molar pregnancy:
Where to get supportIt can take time to recover after a molar pregnancy, both physically and emotionally. The specialists looking after you can give you advice if you need support. They may be able to recommend support services in your area. You can also get more information and support from:
Page last reviewed: 10 September 2020  1.After teaching a woman who has had an evacuation for a hydatidiform mole (molar pregnancy) about her condition, which of the following statements indicates that the nurse's teaching was successful? A)“I will be sure to avoid getting pregnant for at least 1 year.” (s/s “brown mole”) After evacuation of a hydatiform mole, long-term follow-up is necessary to make sure any remaining trophoblastic tissue does not become malignant. Serial hCG levels are monitored closely for one year and the client is urged to avoid pregnancy for 1 year because it can interfere with the monitoring of hCG levels. Iron intake and blood pressure are not important aspects of follow-up after evacuation of a hydatiform mole. Use of a reliable contraceptive is strongly recommended so that pregnancy is avoided. B)“My intake of iron will have to be closely monitored for 6 months.” C)“My blood pressure will continue to be increased for about 6 more months.” D)“I won't use my birth control pills for at least a year or two.” 2.Which of the following findings on a prenatal visit at 10 weeks might lead the nurse to suspect a hydatidiform mole? A)Complaint of frequent mild nausea B)Blood pressure of 120/84 mm Hg C)History of bright red spotting 6 weeks ago D)Fundal height measurement of 18 cm (larger than gestational age) ^ hCG levels – just grapelike clusters, no fetus Findings with a hydatidiform mole may include uterine size larger than expected. Mild nausea would be a normal finding at 10 weeks' gestation. Blood pressure of 120/84 would not be associated with hydatidiform mole and depending on the woman's baseline blood pressure may be within acceptable parameters for her. Bright red spotting might suggest a spontaneous abortion. 3.A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication? A)Urinary output of 20 mL per hour B)Respiratory rate of 10 breaths/minute C)Deep tendons reflexes 2+ (0 = hypo reflex if mag toxicity) With magnesium sulfate, deep tendon reflexes of 2+ would be considered normal and therefore a therapeutic level of the drug. Urinary output of less than 30 mL, a respiratory rate of less than 12 breaths/minute, and a diminished level of consciousness would indicate magnesium toxicity. D)Difficulty in arousing 4.Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client crying. Which of the following responses by the nurse would be most appropriate? A)“Why are you crying?” B)“Will a pill help your pain?” What are 2 signs of a hydatidiform mole pregnancy?The most common symptoms of molar pregnancy include:. Vaginal bleeding within the first three months of pregnancy.. Severe nausea and vomiting.. Preeclampsia (extremely high blood pressure). High HCG levels.. Increases in abdominal size that occur much faster than in a healthy pregnancy.. No heartbeat or fetal movement.. What symptoms occurs with a hydatidiform mole?Symptoms. Abnormal growth of the uterus, either bigger or smaller than usual.. Severe nausea and vomiting.. Vaginal bleeding during the first 3 months of pregnancy.. Which of the following statements is true about a hydatidiform molar pregnancy?Correct answer:
A hydatidiform molar pregnancy is mostly a benign process that may occur due to an abnormal ovum becoming fertilized and growing into collection of cells in a cluster like formation.
How is a hydatidiform mole pregnancy diagnosed?Ultrasonography is done to be sure that the growth is a hydatidiform mole and not a fetus or amniotic sac (which contains the fetus and fluid around it). (D and C) or obtained when tissue is passed and is then examined under a microscope (biopsy) to confirm the diagnosis.
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Which finding on a prenatal visit at 10 weeks might suggest a hydatidiform mole?
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