Abstract
OBJECTIVE: The purpose of this study was to determine compliance with postmolar pregnancy surveillance in our indigent population. STUDY DESIGN: Data for all women who were diagnosed with molar pregnancy from January 1996 through December 2000 were entered prospectively into a database. After remission, postmolar pregnancy surveillance was continued for 6 months. Patients whose condition required chemotherapy for gestational trophoblastic tumor had 12 months of follow-up. Medical records were reviewed. RESULTS: Molar pregnancies occurred in 121 women: 103 Hispanic women (85%), 12 African American women (10%), and 6 white women (5%). Eighty-two women (68%) achieved remission without chemotherapy; 23 women (19%) were lost to follow-up without achieving remission, and 16 women (13%) had gestational trophoblastic tumor. Fifty-six Hispanic women (54%) completed postmolar pregnancy surveillance, compared with two African American women (11%, P < .01). Hispanic patients who were fluent in Spanish only were more likely to complete follow-up than bilingual Hispanic patients (62% vs 41%, P < .01). CONCLUSION: Hispanic women who were fluent in Spanish only were most likely to complete the recommended postmolar human chorionic gonadotropin surveillance.
Original language | English (US) |
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Pages (from-to) | 1151-1153 |
Number of pages | 3 |
Journal | American journal of obstetrics and gynecology |
Volume | 188 |
Issue number | 5 |
DOIs | |
State | Published - May 1 2003 |
Keywords
- Gestational trophoblastic disease
- Indigent women
- Postmolar pregnancy surveillance
ASJC Scopus subject areas
- Obstetrics and Gynecology