Molar Pregnancy in Maharat Nakhon Ratchasima Hospital

Abstract

Objective: To assess the proportion of molar pregnancy per deliveries in Maharat Nakhon Ratchasima Hospital. Patients & Method: A retrospective medical record review of new molar pregnancy cases diagnosed and treated in Maharat Nakhon Ratchasima Hospital from 1 January 1998 to 31 December 2003 was conducted. Results: During the study period, there were 52,091 deliveries and 131 molar pregnancy cases treated in Maharat Nakhon Ratchasima Hospital. The proportion of molar pregnancy was 2.5 per 1,000 deliveries or 1:398 deliveries. The mean age of the patients was 28.2 ± 9.8 years. The majority of the patients (36.6%) were farmer and lived in Nakhon Ratchasima province (93.9%). The mean gestational age at admission was 13.5 ± 3.9 weeds. The most common presenting symptom was vaginal bleeding (80.9%). Some of the patients (39.7%) showed large uterus for gestational age. Most of the patients (84.0%) were classified as high risk due to the high beta-hCG level. Most of the patients (93 cases or 71.0%) had mole evacuated by suction and curettage. After evacuation of moles, 38 cases (32.7%) developed persistent gestational trophoblastic disease. Complete follow up was found in 47.3% of the patients. Most of the patients (116 cases or 88.6%) received post-treatment contraception. Conclusions: Molar pregnancy is an important complication in pregnancy women in Maharat Nakhon Ratchasima Hospital and the proportion of molar pregnancy was 1 per 398 deliveries.