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Hydatiform mole incidence and occurrence:

a. Incidence: 1 in 1000 pregnancies, Occurrence: Usually multifocal
b. Incidence: 1 in 500 pregnancies, Occurrence: Unifocal
c. Incidence: 1 in 2000 pregnancies, Occurrence: Usually unifocal
d. Incidence: 1 in 5000 pregnancies, Occurrence: Usually multifocal

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Final answer:

The incidence of hydatidiform mole is approximately 1 in 1000 pregnancies, usually presenting as multifocal. Maternal age is a risk factor, with increased maternal age posing a higher risk for molar pregnancies and chromosomal abnormalities.

Step-by-step explanation:

The incidence of a hydatidiform mole, also known as a molar pregnancy, varies by geographical regions and has been previously reported to have an incidence of approximately 1 in 1000 pregnancies in Western countries. The occurrence can be described as predominantly multifocal, meaning that it commonly involves multiple areas within the uterus. Hydatidiform moles are a type of gestational trophoblastic disease and are characterized by the abnormal growth of trophoblasts, which are cells that normally develop into the placenta.

It's important to distinguish between the different types of molar pregnancies, such as complete and partial moles. Complete moles often result from an egg with no genetic material being fertilized by a sperm, leading to a growth of abnormal tissue with no fetus. Partial moles happen when a normal egg is fertilized by two sperm, resulting in a growth with some normal placental tissue and usually an abnormal fetus that is not viable.

Factors that have been noted to influence the incidence of hydatidiform moles include maternal age, with increased maternal age being associated with a higher risk of molar pregnancies and other chromosomal abnormalities like trisomy 21.

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