Implementation of the reference center for gestational trophoblastic disease in maranhão: experience report¹

Abstract

Objective: To present the experience of implementing the Gestational Trophoblastic Disease Reference Center in the Southwest region of Maranhão. Method: This is a descriptive-observational, qualitative study of the experience report type. The implementation included meetings with health managers and hospital teams to assess the feasibility of a specialized center in the region. The actions were guided by guidelines from the Ministry of Health and the Brazilian Federation of Gynecology and Obstetrics Associations. Patients diagnosed with gestational trophoblastic disease in the region were included, and those undergoing advanced treatment in other centers were excluded. Results: Since 2022, the outpatient clinic has treated 35 patients, two of which were referred to the Hospital São Rafael, an oncology reference center in the southwest region of Maranhão. The creation of the center solved challenges such as the lack of protocols and waiting lists, ensuring accurate diagnosis, monitoring based on best practices, and prevention of serious complications. Conclusion: The Reference Center for Gestational Trophoblastic Disease in Southwest Maranhão has served to optimize specialized care to women’s health through updated protocols, ensuring timely care, accurate diagnosis, and adequate monitoring, contributing to the promotion, protection, and recovery of the health of the patients served.

¹Extracted from the Dissertation: "Implementation of the Clinical-Surgical Reference Center for Trophoblastic Diseases in Southern Maranhão," presented to the Graduate Program in Surgery and Experimental Research at the State University of Pará (UEPA) in December 2024.