Part 1 of this article describes two series of molar pregnancy and the risk it presents. Part 2 presents one woman’s personal journey when she discovers that she has experienced a partial molar pregnancy.
Molar/partial molar-pregnancy is a subject that gets little attention in pregnancy books, usually a line or two, maybe even a paragraph . Pregnancy-books, while they all focus on successful outcomes and molar/partial pregnancy, the outcome is miscarriage. also what is called a spontaneous abortion.
Unlike most other causes of miscarriage, a molar/partial pregnancy threatens the uterus. Both conditions are associated with cancer: 20% of women who experience a molar pregnancy may develop trophoblastic cancer within a year of pregnancy, while 5% of women who experience a partial molar pregnancy may develop cancer. Cancer is very treatable, but no cancer woman wants to think anything about pregnancy and looking forward to giving birth . A molar pregnancy/partial molar pregnancy that is not diagnosed and terminated can lead to hemorrhage and death.
What is Molar/Molar Partial Gravity?
In a complete molar pregnancy, the egg does not have a nucleus. When a sperm fertilizes an empty egg, the embryo does not develop. Nor is the cake explained. Instead, the tissue that formed the placenta during normal pregnancy grows into clusters of grapes (malas or hydatidiforms) inside the uterus.
A partial molar pregnancy results when one of two conditions occur: either two sperm fertilize one egg, or one sperm fertilizes one egg, but its chromosomes are accidentally duplicated. In both cases, there is little chance of the embryo developing, although it is possible. If the embryo grows, it will have two sets of paternal and one maternal chromosomes and will likely be severely malformed if more than the normal complement of chromosomes are active. In partial molar pregnancy, there is also molar growth in addition to embryonic growth.
A rarer situation occurs when a twin pregnancy involves one normal embryo and one mass.
In rare circumstances, when a partial molar pregnancy occurs in a viable embryo or a twin molar pregnancy occurs with one normal embryo, medical evidence suggests that the viable embryo will not survive. The mole will grow and spread, destroying the viable embryo.
There is a high risk of maternal hemorrhage in pregnant molars and partial molars, which are not detected and abortive (spouse or medically).
When will an abortion occur with Molar / Partial Molar Pregnancy?
Most molars and partial molars spontaneously miscarry in the first trimester. Note that 12 weeks is the critical period when the defect can be observed on an ultrasound scan. Doctors recommend dilation and curettage (D & C) when a molar or partial molar uterus is detected. Because of the cancer risk associated with molar and partial molar pregnancies, a D& C. It is recommended, even if the pregnancy is already spontaneously abortive, that no mole remains in the uterus.
Sometimes a molar or partial molar pregnancy is detected because a spontaneous abortion has occurred and the patient has had D& C. A molar or partial molar pregnancy is diagnosed and reported in pathology.
What are the odds of a Molar Pregnancy/Partial Molar Pregnancy?
Experts disagree about the odds of a molar or partial molar pregnancy occurring. Some experts report that molar or partial molar pregnancies are common, and most such pregnancies spontaneously abort without detection. Other experts place the odds of molar pregnancy occurring somewhere between 1:1 1000 and 1:1500, with the odds of the other event being higher.
Why is a Partial Molar Pregnancy Dangerous for the Mother?
A molar pregnancy is dangerous for the mother for two reasons: trophoblastic cancer and death by hemorrhage.
The products of conception make the best growth medium for a normal fetus, which will grow faster than at any other time in life. Unfortunately, when the fetus does not grow normally, this medium can be used by another growth such as a tumor. Because of this, trophoblastic cancer can grow quickly if it is not detected and treated.
Medical experts have stated that there is a 20% risk risky for a woman who experiences a molar pregnancy to get cancer within one year after pregnancy. The risk with partial molar pregnancy is about 5%.
Non-abortive uterine molars, either spontaneously or medically, can lead to death by haemorrhage. Fortunately, this is unlikely to happen to women receiving medical care during pregnancy. If the heartbeat is not detectable with the doppler device, the woman will typically undergo a sonogram at 12 weeks, at which time molar growth is detectable.
In cases of molar/partial molar pregnancy, death by haemorrhage becomes a greater risk around 20th after conception.
Few case histories are available for women with partial molar pregnancies trying to manage to carry a viable fetus to term because partial viable molar pregnancies are such a rare event. The medical literature suggests that trying to carry a viable fetus to term in a partial pregnancy can be successful. There is a great danger that both the mother and the fetus will succumb before the fetus is delivered.
What is the Post-Molar Pregnancy Protocol?
Women who have experienced a molar or partial pregnancy are typically advised not to become pregnant for one year after conception. In the event that trophoblastic cancer occurs, pregnancy is not recommended until one year after treatment.
One reason for this caution is that the method of testing trophoblastic cancer is using the “a href=”https://e-info.vn/tag/early-pregnancy-tests”>pregnancy test. If the test pregnancy hormones increasing indicates that cancer is present. Pregnancy would render this diagnostic tool useless.
Pregnancy could exacerbate the development of some cancer.
Cancer treatment may present a risk to the fetus; Little evidence is available on the effects of chemotherapy in the first trimester of pregnancy; information on fetal risk from maternal chemotherapy is generally derived from cancer, in which chemotherapy is used different from chemotherapy for trophoblastic cancer used in the third trimester of pregnancy.
After a molar/part molar pregnancy, women are advised to have a chest x-ray or MRI to detect any trophoblastic cancer that has gone unnoticed and spread to the lungs. The lungs are the first organ to which trophoblastic cancer usually spreads.
The likelihood of a woman experiencing a molar or partial molar pregnancy may be small, but it is a topic that women should be aware of when they become pregnant or become pregnant.
Note that the author is not a health care professional and provides general information, not health care. advice Women Women need to be a health care provider seek care if they suspect they are experiencing, or have experienced, molar/partial. obtain molar pregnancy or medical information about the subject.
