Frequency of Molar Pregnancy in Patients Presenting With Miscarriage

Abstract

Objective: The present study aimed to determine the frequency of molar pregnancy in patients presenting with miscarriage.

Methodology: A descriptive cross-sectional study was conducted at the Outpatients Department of Obstetrics & Gynaecology, Jinnah Postgraduate Medical Center (JPMC), Karachi, Pakistan, from September 25, 2020, to March 24, 2021. All eligible patients who sought medical attention at JPMC, Karachi, were included in the study after obtaining informed consent and explaining the study's procedure, risks, and benefits. Relevant data pertaining to patients' age, gestational age, and parity were collected and recorded. Transabdominal ultrasound scanning was performed to evaluate the presence of molar pregnancy. All collected data were entered into an attached proforma and stored electronically for research purposes.

Results: A total of 178 patients were included with a mean age of 28.7 ± 5.8 years. A mean parity of 2.4 ± 0.95 and a gestational age of 11.2 ± 3.5 weeks were observed. Previous molar pregnancy was found in 65 (36.5%) patients, and a positive family history of molar pregnancy was found in 33 (18.5%) patients. Molar pregnancy was found in only 01 (0.5%) patient. No significant association was found between age, BMI, parity, gestational age, previous molar pregnancy, and family history.

Conclusion: It is concluded that molar pregnancy is very unlikely to be prevalent in patients with miscarriage, but we cannot rule out residual confounders.