Mike and I spent the first of last week searching for any hope. We found several medical cases where women delivered healthy babies when they had a diseased placenta coupled with a healthy fetus. Again, this is so rare so there isn’t much information on it. The stipulations are the baby has to have 46 chromosomes (that is why our DNA test is so important), the mother can not have any complications, and part of the placenta has to be healthy.
I wrote Answers in Genesis last Wednesday, and Thursday I received a response even though they said it could take up to 3 weeks to get an answer. I wanted to post this because someone in the world might be searching for hope and come across my blog.
Last week, I was 13 weeks along with mine and my husband’s third child. I was told I had what looked like a partial molar pregnancy. I saw a specialist the following week he confirmed the molar pregnancy but said he was so stumped because EVERY measurement of my baby indicates a healthy “fetus.” My HCG levels are elevated. I’ve had extreme nausea and fatigue. But no bleeding. My baby’s heartbeat is strong and every measurement is correct. I’m just so confused. All the expert advice I’m reading and receiving says even though it appears to be baby, it isn’t. Is there any chance my baby could have life even with a partial molar? I read your article, “A Pro Life Doctor’s View on a Molar Pregnancy.” It was very informative. But never directly mentioned a partial molar pregnancy. Please help! Is there anything else you think that it could be that would give my baby a chance at life? We desperately want this baby….
Answers in Genesis Response:
There are multiple possibilities, based on what this lady has shared. She
could have an ordinary partial molar pregnancy with a nonviable fetus
and a molar pregnancy; that is the scenario that usually exists in cases
of partial molar pregnancies. However, as a 1998 report in the journal
Human Reproduction reports, a coexisting normal fetus is a possibility,
though rare. The article states:
“The incidence of a normal live fetus and a partial molar placenta is
extremely rare. Although triploidy is the most frequent association, a
fetus with normal karyotype can survive in cases of partial molar
pregnancy. We report a case of partial molar placenta in which a live
female baby was delivered at 32 weeks gestation by a 30-year-old woman. At
the 18th week, ultrasonographic examination revealed a normal fetus with a
huge, multicystic placenta. Chromosomal evaluation by amniocentesis
revealed a normal female karyotype (46,XX), and serial biometric
measurement of the fetus showed normal growth during pregnancy. There were
no obstetric complications until the 32nd gestational week when preterm
rupture of the membranes occurred. The electronic fetal heart beat tracing
showed a repeated sinusoid pattern and late deceleration after admission.
The patient underwent emergency Caesarean section and delivered a 1551-g,
anaemic female baby with an Apgar score of 1, 4 and 6 at 1, 5 and 10 min,
respectively. The baby recovered within 2 weeks after respiratory support
and transfusion of packed red blood cells. Although anaemia is one of the
risk factors that jeopardize the fetus in the case of partial molar
pregnancy, termination is not indicated when the fetus is normal and no
complications have occurred.”
Given that this lady¹s situation is baffling to her current caregivers,
she could have one of these rarer situations. Therefore, I would suggest
she seek evaluation by physicians trained not just in ordinary obstetrics
but in High Risk Obstetrics. If she does have a viable fetus, her
pregnancy certainly is a high risk one for both her baby and potentially
for herself, so she will need that sort of management.
I don¹t know what resources are in her area, but looking at the map she is
close enough to Marietta and to Atlanta to make it likely that she will be
able to find a referral. I would suggest she start by asking her own
physician or the specialist that she has already seen for referral to a
High Risk (also called “Level 3”) Obstetrics Center, emphasizing her
commitment to protecting the baby and to exploring all her options.
Here is more information for any one searching for partial molar pregnancy coupled with a healthy fetus. It has a lot of medical jargon because they are medical cases but it is very informative:
Mike and I believe with our whole hearts that God is at work. He told me last night every day with this baby is a gift. He is so right. We are taking it one day at a time and thankful for each day we have with our baby to believe God for a miracle!