Panorama da gestação molar em um hospital terciário de referência numa capital do Nordeste

Abstract

The hydatiform mole is one of the conditions in a category of pathologies known as Gestational Trophoblastic Disease that are associated with the abnormal fertilization in pregnancy. It is estimated that the hydatiform mole occur in 1:200-400 gestations in Brazil. However, few current data is found on the numbers of cases of that pathology. Therefore, the research had as objective to analyze the occurrence and women’s profile with mole gestational in a referral tertiary hospital in Maceió, Alagoas, between 2013 and 2018. It’s a descriptive study for documental research through the medical records analysis. 238 women were found affected by this pathology, where the research identified there was an average of 40 cases per year, women in their majority had age group between 20 and 24 years-old (28%), singles (71,1%), complete high school or incomplete (43,3%), brown (89,8%) e blood typing O (54%) e Rh factor positive (92%). About obstetric history, prevailed primitive women (42,3%), 47 women had some previous abortion and 3 had hydatiform mole. Most of women did not know to inform the gestational age nor the date of last menstruation. Beta-HCG was collected before and during the admission (74%), with the majority between 100.000-500.000 (30%) and the remission between 0 to 60 and 60 to 120 days (35% each) with average of the 141 days. ultrasonography exams were accomplished outside the hospital (68,1%) and were admitted without complaint (43,7%). Most part of the diagnostics were complete mole (44%) and their treatment resulted in Intrauterine Manual Aspiration (44,4%). Few women made use of quimioterapy (13%) and most part used Methotrexate (80,6%). 4% of the women were affected by metastasis, mostly in the lung. In general, it was possible to observe a small crescent of cases during the period, singles women, brown, primitive, in the high school or complete, blood O positive and with unknown gestational age followed by first trimester of the gestational were committed by this pathology and had vaginal bleeding associated with this pathology, most part did not pathological diagnosis of type, some women used a quimiotherapy and however had a good clinical outcome.