Twin Pregnancy with One Fetus and One Complete Mole - A Case Report.

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine
• Reproductive Endocrinology

Background:

• Complete hydatidiform mole and coexistent fetus (CMCF) is a rare obstetric complication with significant associated risks.
• These risks include prematurity, intrauterine fetal demise, and maternal complications like preeclampsia and gestational trophoblastic disease (GTD).

Purpose of the Study:

• To report a case of CMCF managed to term.
• To discuss the management strategies and outcomes in such rare pregnancies.

Main Methods:

• Case report of a 33-year-old patient diagnosed with CMCF at 15 weeks gestation.
• Management involved close maternal-fetal monitoring, comprehensive counseling, and prophylactic fetal lung maturation.
• Delivery was indicated due to significant vaginal bleeding.

Main Results:

• The pregnancy was successfully extended to 32 weeks gestation.
• Delivery was performed via cesarean section due to heavy vaginal bleeding.
• The case demonstrates the possibility of extending pregnancy in CMCF with careful management.

Conclusions:

• CMCF pregnancies, though rare and high-risk, can be managed with intensive surveillance and intervention.
• Timely delivery may be necessary to manage complications such as severe vaginal bleeding.