Treatment of partial molar pregnancy where fetal part size permits suction curettage
Clinical scenario
This protocol applies to partial molar pregnancy in which the size of fetal parts does not preclude the use of suction curettage as the primary method of removal.
Approach
Management involves mechanical removal of the partial molar pregnancy, followed by a specific prophylactic measure. The full step-by-step regimen, including post-procedure monitoring requirements, is available via the structured protocol.
Treatment goal
Successful treatment is confirmed when human chorionic gonadotrophin (hCG) returns to normal on two samples taken at least 4 weeks apart.
References
DOI: 10.1111/1471-0528.16266
- Suction curettage is the method of choice for removal of partial molar pregnancies except when the size of fetal parts deters the use of suction curettage and then medical removal can be used.
- Anti-D prophylaxis is recommended following removal of a molar pregnancy.
- However, it is required for partial molar pregnancies.
- Follow-up for partial molar pregnancy is concluded once the hCG has returned to normal on two samples, at least 4 weeks apart.
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