Molar Pregnancy in Srinagarind Hospital

Abstract

Abstract

Objective: To assess the proportion of molar pregnancy per deliveries in Srinagarind

hospital.

Study design: A descriptive study.

Setting: Srinagarind Hospital, Faculty of Medicine, Khon Kaen University.

Subjects: The molar pregnancy patients who were treated at Srinagarind hospital from

1 January 1991 to 31 December 2000.

Method: A retrospective review of molar pregnancy cases treated in Srinagarind

hospital was conducted. Information regarding demographic data, clinical manifestations, laboratory results, treatments, follow up and complications were collected and analyzed.

Main outcome measures: The proportion of molar pregnancy per deliveries.

Results: During the study period, there were 50,629 deliveries and 65 molar pregnancy

cases treated in Srinagarind hospital. The proportion of molar pregnancy was 1.28 per

1,000 deliveries or 1:779 deliveries. The mean age of the patients was 26.18 years. The majority of the patients (30.77%) were farmers and lived in Khon Kaen province (56.92%). The

mean gestational age at admission was 13.17 weeks. The most common presenting

symptom was vaginal bleeding (90.77%). Hyperthyroidism and pre-eclampsia were

found in 10 cases(15.38%) and 6 cases (9.23%), respectively. Most of the patients

(69.23%) were large for gestational age. Most of the patients (89.66%) was classified as

high risk due to the beta–hCG level. Abnormal free T4 level was found in 10 out of the 17

cases (58.82%). Most of the patients (58 cases or 89.23%) had moles evacuated by suction and curettage. Complete follow up was found in 53.85% of the patients. Most of the patients (57 cases or 87.69%) received post-treatment contraception.

Conclusions: Molar pregnancy is an important complication in pregnancy. In

Srinagarind hospital, the proportion of molar pregnancy was 1 per 779 deliveries.

Key words: molar pregnancy