[Complete molar pregancy with development of non-metastatic persistent trophoblastic diseaseA case report, reflection of rules of care and decision-making processes Forensic responsibility and the position of doctor in the general gynecologic and obstetric outpatient practice].

Ceska gynekologie / Ceska lekarska spolecnost J. Ev. Purkyne

PubMedID: 29020788

Zeman S, Trávník P, Dvoráková K, Zemanová J. [Complete molar pregancy with development of non-metastatic persistent trophoblastic diseaseA case report, reflection of rules of care and decision-making processes Forensic responsibility and the position of doctor in the general gynecologic and obstetric outpatient practice]. Ceska Gynekol. 2017;82(5):396-406.
OBJECTIVE
To define the forensic responsibility and the position of doctor in the general gynecologic and obstetric outpatient practice in care of the complete molar pregancy.

DESIGN
Case report and review article.

SETTING
General gynecologic and obstetric outpatient practice Velké Mezirící; Sanatorium REPROMEDA, Centre of reproductive medicine and preimplantation genetics, Brno; Histopatology department of Hospital Jihlava.

CASE REPORT
The changing clinical presentation of complete molar pregnancy with development of non-metastatic gestational trophoblastic disease: management. Subsequent early pregnancies outcome following complete hydatiform molar pregnancy.

DISCUSSION
Discussed are the forensic responsibility and the position of doctor in the general gynecologic and obstetric outpatient practice with the collaboration of Trophoblastic Disease Center based on the detail expert knowledges: rules of care and decision-making processes and potential controversies, the pitfalls of the histopathologic diagnosis, the genetics of complete hydatiform mole: new lights on a disease, outpatient follow-up and possibility and the risks of the subsequent pregnancy.

CONCLUSION
The conclusion is trying to guide quickly a doctor in the general gynecologic and obstetric outpatient practice in the decision-making processes through the crossings of any situation of the complete molar pregnancy and outpatient follow-up, alternatively with the collaboration of Trophoblastic Disease Center.