Not a pregnancy

Alex is a healthy 29-year-old woman who presented in the first trimester of her fourth pregnancy complaining of hyperemesis gravidarum. Ultrasound demonstrates a live fetus, with no obvious abnormalities.

abdominal pain

Her betaHCG is 168,078 IU/L. She subsequently returned with vaginal bleeding, and follow-up ultrasound confirmed fetal demise. She was referred to a gynaecologist and underwent evacuation of a morphologically normal fetus.

The final pathology from the evacuation was reported as a partial molar pregnancy, with a triploid (XXX) fetus. Alex saw her GP three