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CC BY-NC-ND 4.0 · AJP Rep 2024; 14(02): e124-e128
DOI: 10.1055/a-2299-4409
Case Report

Expectant Management of a Triploid Partial Molar Pregnancy at 26 Weeks' Gestation: A Case Report

Karen Wong 
1   Department of Obstetrics and Gynecology, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
2   Department of Obstetrics, Gynecology and Newborn Care, The Ottawa Hospital, Ottawa, Canada
,
Mohannad Ali
1   Department of Obstetrics and Gynecology, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
2   Department of Obstetrics, Gynecology and Newborn Care, The Ottawa Hospital, Ottawa, Canada
,
Marc Stalder
3   Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, Ontario, Canada
,
Brigitte Bonin
1   Department of Obstetrics and Gynecology, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
2   Department of Obstetrics, Gynecology and Newborn Care, The Ottawa Hospital, Ottawa, Canada
,
Darine El-Chaâr
1   Department of Obstetrics and Gynecology, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
2   Department of Obstetrics, Gynecology and Newborn Care, The Ottawa Hospital, Ottawa, Canada
4   School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
5   Clinical Epidemiology Program, Ottawa Hospital Research Institute, The Ottawa Hospital, Ottawa, Ontario, Canada
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Abstract

Introduction Triploid partial molar pregnancies are not viable, and confer maternal risks including preeclampsia, hemorrhage, gestational trophoblastic neoplasia, and trophoblastic embolization. We report a case managed expectantly until 26 weeks' gestation in a patient requesting continuation of pregnancy.

Case Presentation This G2P1 presented with fetal anomalies indicative of triploid partial molar pregnancy. The pregnancy was complicated by anemia, hyperthyroidism, supraventricular tachycardia, and threatened preterm labor.

Her care involved maternal fetal medicine collaborating with internal medicine, palliative care, anesthesia and critical care. Labor was augmented at 26 weeks' gestation, resulting in vaginal delivery. Postpartum course was notably complicated by acute respiratory distress in the immediate postpartum period, which self-resolved. Postpartum hemorrhage and retained products of conception were additional complications.

Conclusion This unique case highlights the role of multidisciplinary collaboration and shared decision making in challenging circumstances.

Keywords

triploidy - partial molar - perinatal palliative care - gestational trophoblastic neoplasia


Publication History

Received: 06 March 2024

Accepted: 27 March 2024

Accepted Manuscript online:
04 April 2024

Article published online:
03 May 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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