Suction curettage is the standard first-choice method for removing a partial molar pregnancy. In certain cases, however, the size of fetal parts makes suction curettage unsuitable, and a different approach must be taken.
This protocol applies to partial molar pregnancy where the size of fetal parts deters the use of suction curettage — the usual method of choice. When this specific condition is present, the clinical approach changes.
Medical removal of the partial molar pregnancy is the indicated approach in this setting, accompanied by a recommended prophylactic measure administered after removal.
Successful management is confirmed when human chorionic gonadotrophin (hCG) returns to normal on two samples taken at least 4 weeks apart.
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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