diagnosis
Last reviewed 01/2018
Hydatidiform mole is usually suspected on the basis of the clinical picture - bleeding after a prolonged period of amenorrhoea, early pre-eclampsia, hyperemesis gravidarum, or in half of cases, a uterus which is large for dates.
Investigations include:
- examination for hydropic villi in vaginal blood
- serum beta-hCG levels - usually high for early pregnancy
- ultrasound- characteristic "snow-storm" pattern
- negative results with foetal doppler
- chest X-ray to exclude pulmonary metastasis