Does cerclage improve neonatal outcomes in a molar pregnancy and a coexistent fetus? a case report

Authors

Eduardo Aguin, Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of MichiganFollow
Victor Aguin, Department of Obstetrics and Gynecology, Wayne State UniversityFollow
Ligia Cisneros, Department of Obstetrics and Gynecology, Wayne State UniversityFollow
Tina Aguin, Department of Obstetrics and Gynecology, Wayne State UniversityFollow
Cosmas Van de ven, Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of MichiganFollow
Ray Bahado-Singh, Department of Obstetrics and Gynecology, Wayne State UniversityFollow

Document Type

Article

Abstract

Abstract

Background

Complete hydatiform mole and coexistent viable fetus is very rare. The use of a cervical cerclage for cervical indications in the presence of this condition has never been reported. Although the diagnosis was made postnatal, the objective is to present a case with good neonatal outcome.

Case presentation

A patient presented with vaginal spotting around 23 weeks. She has a history of four preterm deliveries. Her cervix was dilated and a cerclage was placed. She presented again with PPROM around 25 weeks. She went into spontaneous preterm labor and delivered a viable fetus that is a healthy girl today. Eventually the pathology of the placenta showed a complete hydatidiform mole.

Conclusion

It is necessary to inform patients about the potential risks and poor outcomes of this condition. For those who desire all potential interventions, cerclage placement could be considered.

Disciplines

Maternal and Child Health | Obstetrics and Gynecology | Women's Health

Recommended Citation

Aguin et al. BMC Research Notes 2012, 5:621
doi:10.1186/1756-0500-5-621