Iranian Society of Gynecology Oncology

Document Type : Original Research Article


Department of Obstetrics and Gynecology, College of Medicine, University of Al-Qadisiyah, Al-Diwaniyah, Iraq


Background and Aims: 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 0.005 to 0.01% of gestations have a partial mole. This report examined the clinical appearance and outcome of live fetuses with molar pregnancies.
Methods: This study was done at Adiwaniyah, where the Maternity and Pediatrics Teaching Hospital has one obstetrics center.  The researcher reviewed 20 years of obstetric reports and found 12 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 27.00 ±6.87 years, with a range of 18–37 years. The parity breakdown was eight (66.7%) primiparous and four (33.3%) multiparous.  The average gestational age upon diagnosis was 19.50 ±3.09 weeks, ranging from 15 to 25 weeks. The average gestational age at delivery commencement was 26.67 ±7.09 weeks, with a range of 17–35 weeks. Seven (58.3%) amniocenteses were normal. Maternal complications included bleeding, anemia, blood transfusion, threatening miscarriage, and pre-eclampsia. End-of-gestation outcomes comprised five (41.7%) living and healthy newborns and three (25.0%) dead babies. There were five (41.7%) men and two (16.7%) 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.


Main Subjects

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