Nursing care for a patient with a twin pregnancy with complete hydatidiform mole and a coexisting fetus: a case report

A twin pregnancy with a complete hydatidiform mole and a coexisting fetus is a rare and high-risk pregnancy that occurs in 1/22,000 to 100,000 pregnancies, the risk of which may increase as a result of ovulation induction and assisted fertility techniques. These pregnant women are prone to sudden heavy bleeding, heart failure, and seizures during labor. Most of the patients choose to terminate their pregnancies after diagnosis. The best way in which to standardize clinical and nursing management for pregnant women who choose to continue their pregnancy is debatable. This is a report of a patient with lung metastasis after thyroid cancer surgery who underwent intrauterine insemination after administration of human menopausal gonadotrophin (HMG) to promote ovulation.After further counseling regarding maternal risks, the patient elected to continue the pregnancy, and the fetal heartbeat disappeared at 22 + 5 weeks of gestation. Through multidisciplinary treatment and specialized nursing care, maternal stabilization and preservation of future fertility potential were achieved. This report describes the clinical management of a twin pregnancy with complete hydatidiform mole and a coexisting fetus (CHM&CF).This report explores the nursing experience associated with this rare condition. It thus provides a reasoned and effective framework to guide nursing practice in comparable clinical scenarios.