Postmolar surveillance at a trophoblastic disease center that serves indigent women

Jennifer E. Allen, Melanie R. King, Diana F. Farrar, David S. Miller, John O. Schorge

Research output: Contribution to journalArticle

19 Scopus citations

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 languageEnglish (US)
Pages (from-to)1151-1153
Number of pages3
JournalAmerican journal of obstetrics and gynecology
Volume188
Issue number5
DOIs
StatePublished - May 1 2003

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Keywords

  • Gestational trophoblastic disease
  • Indigent women
  • Postmolar pregnancy surveillance

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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