There appears to be no consistent association between the DNA ploidy of either partial or complete mole and subsequent clinical course. Following the pregnancy complicated with complete hydatidiform mole, the majority of women suffer no sequelae. Neoplastic sequelae are particularly common in older patients. There is a 10-fold increase of a chance for another molar pregnancy after a hydatidiform mole. Current management involves oral contraception and careful follow-up to detect persistently raised HCG levels or persistent bleeding which mandates curettage.
Chemotherapy is the treatment of choice of persistent gestational trophoblastic disease.
Prenatal utlrasonography in this 33 year white woman who had complained of decreased fetal movements revealed twin gestation with discordant growth of fetuses, polyhydramnios of one fetus and oligohydramnios of other fetus. Repeat cesarean section was performed at 36 weeks gestational age. After several days stay in NICU the children were discharged. Lab manual questions 1. Tell differences between the monchorionic and dichorionic placentas.