Multiparidad como factor de riesgo para enfermedad trofoblástica gestacional en el Hospital Maternidad Matilde Hidalgo de Procel. Análisis de un caso.

Abstract

Introduction: Gestational trophoblastic disease is a rare complication of pregnancy characterized by abnormal proliferation of the trophoblast (tissues derived from the human placenta). Its classification is based on the histological characteristics provided by its trophoblastic origin and the biological properties of its Tissues that have the ability to secrete human chorionic gonadotropin (hCG), the latter being of clinical utility, its value becomes a tumor marker that allows early identification of the process and even for the adoption of treatments without histological verification being essential. Objective: To determine the importance of diagnosis based on the quantification of chorionic gonadotropin hormone and early ultrasound. Methodology: The research design was carried out through descriptive research through a clinical case. Conclusion: Maternal age (extremes of reproductive life) and multiparity are a risk factor in pregnancy, childbirth, or the puerperium, related to maternal morbidity and mortality and other complications during pregnancy. Confirmation of the diagnosis is based on quantification of the chorionic gonadotropin hormone and early ultrasound. Treatment of hydatidiform mole consists of uterine evacuation, if pregnancy is not desired; hysterectomy is preferable in women aged 40 years or older, since at least a third of these women will develop persistent gestational trophoblastic neoplasia.