A Series of Cases of Molar Pregnancies and their Outcome for 1 Year in the Tertiary Care Centre, Srikakulam

Objectives: To study the clinical presentation and treatment outcome of molar pregnancy at a Tertiary Care Hospital. Methods: 1) Prospective observational study was performed over a period of 1year at Great Eastern Medical School and Hospital, Srikakulam after approval by institutional ethical review committee. 2) Data abstracted included patient's age, parity, presenting symptoms, gestational age at diagnosis, uterine size, ultrasonographic findings, BhCG level at the time of diagnosis & at follow -up after evacuation, and blood loss during evacuation. Result: 1) Of a total of 800 deliveries in 1 year, 4 cases of complete molar pregnancy were encountered. 2) 4.1 cases of molar pregnancy per 1000 pregnancies. 3) Majority of patients (63.7%) were older than 35 years, and were nulliparous (45.5%). 4) The commonest symptom was vaginal bleeding (86.4%) followed by hyperemesis gravidarum (41.0%); Hyperthyroidism was seen in 1 patient (4.5%). 5) The majority of patients (63.6%) had normal BhCG within 9 weeks (63 days) after suction curettage. The majority of the cases followed a benign course. Conclusion: Aged older than 35 years seems a risk factor and vaginal bleeding is the commonest presenting symptom. Early booking of pregnant women to antenatal care clinics and routine first trimester ultrasound made diagnosis easier and earlier before complications appear.