Imaging: A bedside ultrasound was done which reveals a single viable intrauterine pregnancy, with a large low anterior uterine mass that is consistent with a molar pregnancy. This is a very vascular. The lesion and it is over the lower uterine segment. There is centrally would be no way of delivering the baby via repeat C-section without going through this area of the molar pregnancy.
Assessment: 27-year-old gravida 4 para 3 with known twin pregnancy with normal pregnancy and molar pregnancy presents with active bleeding. I did discuss with the patient and her husband that this is a very complex situation and there is a number of concerns. First concern is that of premature delivery of the baby since she is having multiple episodes of bleeding and they are getting heavier each time. Reviewed the risk of preterm delivery at length.
would you code twin pregnancy with fetal loss?Thanks for any help you can give me.pat