Postmolar surveillance at a trophoblastic disease center that serves indigent women.

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.

journal_name

Am J Obstet Gynecol

authors

Allen JE,King MR,Farrar DF,Miller DS,Schorge JO

doi

10.1067/mob.2003.297

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

1151-3

issue

5

eissn

0002-9378

issn

1097-6868

pii

S0002937803001273

journal_volume

188

pub_type

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