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Open Access Case Report

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

Eduardo Aguin1*, Victor Aguin2, Ligia Cisneros2, Tina Aguin2, Cosmas Van de ven1 and Ray Bahado-Singh2

Author Affiliations

1 Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of Michigan, Ann Arbor, MI 48109, USA

2 Department of Obstetrics and Gynecology, Wayne State University, Detroit, MI 48201, USA

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BMC Research Notes 2012, 5:621  doi:10.1186/1756-0500-5-621

Published: 5 November 2012

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.

Keywords:
Cerclage; Molar pregnancy; Neonatal outcome