molar changes with a normal viable fetus: a case report

Objective: the presence of a normal fetus with normal karyotype accompanied by molar changes in the placenta is a rare condition, which carries a significant risk to the mother and fetus. there is a controversy regarding the proper management of this condition. here, we present the case of a singleton pregnancy that showed molar changes in the pathological study of the placenta, but ended up with a normal viable neonate. case report: a 23-year-old primigravida woman, with a 3-year history of infertility, presented with vaginal bleeding and spotting. her ß-human chorionic gonadotropin (hcg) at 13th week was 36500 miu/ml. serial sonography assessments were suggestive for molar changes and a normal fetus with growth retardation but normal doppler assessment. the patient underwent elective cesarean section at 37 weeks gestation and a healthy female neonate with an apgar score of 9-10, weighing 2270 g was born. pathological assessment of the placenta confirmed the diagnosis of incomplete hydatidiform mole. after two months, the mother had no complications, her ß-hcg level was untraceable, and the infant was in good condition. conclusion: despite being a rare condition, partial moles can be accompanied by delivery of a normal fetus. the management of this condition still remains challenging and should be done under close monitoring with extreme caution.