Asian Pac J Cancer Prev. 2017 Oct 26;18(10):2657-2662. doi: 10.22034/APJCP.2017.18.10.2657.
Risk Factors for Hydatidiform Mole: Is Husband’s Job a Major Risk Factor?.
Asian Pacific journal of cancer prevention : APJCP
Hourieh Shamshiri Milani, Morteza Abdollahi, Sara Torbati, Taha Asbaghi, Eznollah Azargashb
Affiliations
Affiliations
- Infertility and Reproductive Health Research Centre (IRHRC) , Shahid Beheshti University of Medical Sciences, Tehran, Iran .
- Department of Community Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Email: [email protected]
PMID: 29072060
PMCID: PMC5747385 DOI: 10.22034/APJCP.2017.18.10.2657
Abstract
Background: The hydatidiform mole (HM) is a precancerous placenta considered as a gestational trophoblastic
disease (GTD). It may convert to more invasive forms of gestational trophoblastic neoplasia (GTN), endangering women’s
health by more severe complications. Most GTN cases originate from HM, which is associated with uterine bleeding,
preeclampsia and thyroid problems. Its etiology has not been adequately explored, but some risk factors have been
reported. The aim of the present study was to assess any relationships between molar pregnancy and factors including
mothers’ and husbands’ occupations. Methods: In this case control study, seventy complete molar pregnancies (cases)
were compared with 200 normal pregnancies (controls) in 5 educational hospitals affiliated to medical universities
in Tehran, Iran. Data were analyzed using t-test, chi-square test, Fisher’s exact test and logistic regression modeling.
Results: There was no significant relationship between the risk of molar pregnancy and age, education, blood RH,
parity, duration of OCP use, intra-uterine device usage, smoking, consanguinity of woman and husband, ethnicity,
history of infertility, history of moles in the family, and dwelling ownership. The two groups were statistically different
regarding husbands’ jobs, history of abortion, use OCP, and ABO blood group. The odds ratio with a husband’s physical
job having exposure to dust and soil was 18.2 (CI: 8.26-43.03, PV˂0.001). Logistic regression analysis only showed
husband’s job and husband’s physical job exposure to dust and soil as predictors. Conclusion: Husband’s jobs and
especially exposure to dust and soil could be a major risk factor for molar pregnancy. More studies on the epidemiology,
occupational health, microbiology and genetics are warranted to shed more light on this abnormal pregnancy.
Creative Commons Attribution License
Keywords: Hydatidiform mole; pregnancy; occupation; husband job; dust; women’s health; GTD; GTN; placenta
References
- Geburtshilfe Frauenheilkd. 2015 Oct;75(10):1043-1050 - PubMed
- J Reprod Infertil. 2014 Jul;15(3):157-60 - PubMed
- J Gynecol Obstet Biol Reprod (Paris). 2011 Sep;40(5):419-29 - PubMed
- Cancer Detect Prev. 1991;15(1):45-8 - PubMed
- Acta Obstet Gynecol Scand. 2014 May;93(5):503-7 - PubMed
- Placenta. 2005 Jan;26(1):5-9 - PubMed
- Kathmandu Univ Med J (KUMJ). 2011 Oct-Dec;9(36):298-300 - PubMed
- Asian Pac J Cancer Prev. 2016;17 (3):1357-62 - PubMed
- Int J Gynecol Cancer. 2017 Mar;27(3):550-553 - PubMed
- Cell Adh Migr. 2016 Mar 3;10 (1-2):226-35 - PubMed
- J Reprod Med. 2013 Jan-Feb;58(1-2):67-71 - PubMed
- Eur J Gynaecol Oncol. 2005;26(2):207-8 - PubMed
- Am J Obstet Gynecol. 1985 Aug 15;152(8):1016-20 - PubMed
- Gynecol Oncol. 2017 Jan;144(1):200-207 - PubMed
- Obstet Gynecol. 2008 Aug;112(2 Pt 1):244-50 - PubMed
- J Obstet Gynaecol. 2013 Apr;33(3):298-300 - PubMed
- J Coll Physicians Surg Pak. 2007 Feb;17(2):81-3 - PubMed
- Am J Obstet Gynecol. 2010 Dec;203(6):531-9 - PubMed
- Am J Obstet Gynecol. 1988 Jan;158(1):93-9 - PubMed
- Am J Obstet Gynecol. 1985 Oct 1;153(3):294-300 - PubMed
- Tumori. 1985 Apr 30;71(2):123-6 - PubMed
- Adv Biomed Res. 2014 Jan 27;3:55 - PubMed
- Cancer Epidemiol Biomarkers Prev. 2009 Nov;18(11):2895-8 - PubMed
- J Pak Med Assoc. 1998 Oct;48(10):296-300 - PubMed
- Curr Oncol Rep. 2014 Nov;16(11):408 - PubMed
- Mol Hum Reprod. 2013 Nov;19(11):773-81 - PubMed
- Nihon Sanka Fujinka Gakkai Zasshi. 1982 Jul;34(7):915-9 - PubMed
- Am J Obstet Gynecol. 2016 Sep;215(3):334.e1-6 - PubMed
- East Mediterr Health J. 2008 Jan-Feb;14(1):183-8 - PubMed
- Obstet Gynecol. 1991 Dec;78(6):1039-45 - PubMed
- J Ayub Med Coll Abbottabad. 2012 Jan-Mar;24(1):7-9 - PubMed
- Int J Fertil Steril. 2013 Apr;7(1):63-6 - PubMed
- J Obstet Gynaecol. 2009 May;29(4):322-5 - PubMed
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