The Co-Existence of a Live Fetus in a Twin Pregnancy with Hydatidiform Mole: Cross-Sectional Study

Background & Objective: An unusual manifestation of prenatal trophoblastic illness is a twin molar pregnancy with a live fetus and a hydatidiform mole. Due to increased ovulation stimulation, this unusual scenario is rising. Most hydatidiform moles are complete with a fetus, while ۰.۰۰۵ to ۰.۰۱% of gestations have a partial mole. This report examined the clinical appearance and outcome of live fetuses with molar pregnancies.Materials & Methods: This study was done at Adiwaniyah, where the Maternity and Pediatrics Teaching Hospital has one obstetrics center.  The researcher reviewed ۲۰ years of obstetric reports and found ۱۲ cases of hydatidiform mole pregnancies, with ultrasound reports and/or postpartum examination of the product of gestation indicating twin pregnancy with a single viable fetus.Results: The average age was ۲۷.۰۰ ±۶.۸۷ years, with a range of ۱۸–۳۷ years. The parity breakdown was eight (۶۶.۷%) primiparous and four (۳۳.۳%) multiparous.  The average gestational age upon diagnosis was ۱۹.۵۰ ±۳.۰۹ weeks, ranging from ۱۵ to ۲۵ weeks. The average gestational age at delivery commencement was ۲۶.۶۷ ±۷.۰۹ weeks, with a range of ۱۷–۳۵ weeks. Seven (۵۸.۳%) amniocenteses were normal. Maternal complications included bleeding, anemia, blood transfusion, threatening miscarriage, and pre-eclampsia. End-of-gestation outcomes comprised five (۴۱.۷%) living and healthy newborns and three (۲۵.۰%) dead babies. There were five (۴۱.۷%) men and two (۱۶.۷%) women. Moreover, cesarean sections, early labor, and miscarriages were documented.Conclusion: Twin pregnancies with a live viable fetus and a molar pregnancy is rare, hence early detection and care are crucial to prevent difficulties for the mother and fetus.

Keywords:

Molar , Pregnancy , Twin , Living Fetus