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Yalda Jefrideh , Azar Ahmadzade , Reza Khajeian , Razieh Mohamadjafari^*

Abstract

This study investigates the factors affecting the occurrence of gestational trophoblastic neoplasia following molar pregnancy in women referring to the specialized clinic of Imam Khomeini Hospital in Ahvaz from 2018 to 2020. This descriptive-cross-sectional study was conducted using census sampling and checklists and medical records of women who were referred to the specialized clinic of Imam Khomeini Hospital in Ahvaz from 2018 to 2020. The sample size was equal to the entire population of women with molar pregnancy. Its size was considered to be 55 people. The data relating to each of the patients were collected through the checklist and by the researcher using the pathological findings and the patient’s medical records.

Based on the results of the present study, the frequency of gestational trophoblastic neoplasia following molar pregnancy was 18.2% (10 cases) and the mean age of women with gestational trophoblastic neoplasia following molar pregnancy was 29.60 years. The frequency of previous abortion history in women with gestational trophoblastic neoplasia following molar pregnancy was 70% (7 people). Also, regarding the frequency of previous pregnancies in women with gestational trophoblastic neoplasia following molar pregnancy, 2 previous pregnancies with 30% (3 people) had the highest frequency. According to the results of the present study, the rate of gestational trophoblastic neoplasia following molar pregnancy is 18.2%. The factors affecting its occurrence include maternal age, gestational age, history of abortion, number of pregnancies, uterus height difference from fetal age, and vaginal bleeding‎.