title: Outcome of triplet pregnancy with hydatidiform mole and coexisting twin live fetus following ICSI.
abstract: The hydatidiform mole with coexisting fetus is a rare condition. There have been few reports on this condition following ovulation induction and ART. We describe here the clinical features, management and outcome of a case of complete hydatidiform mole with coexisting viable twin fetus following Intra-cytoplasmic sperm injection. A 29 year old lady was pregnant following Intra-cytoplasmic Sperm Injection (ICSI) and Embryo Transfer. Three good quality embryo with two pronuclei on pronuclear check was transferred. A triplet pregnancy with two live fetus and a complete mole was delivered at 37 completed weeks of pregnancy. The antenatal period was uneventful and the human chorionic gonodotrophin returned to baseline by 4 weeks after delivery. There was no further complication at one year follow-up. Continuation of pregnancy as long as maternal complications are absent or controllable can be a safe and rewarding effort in managing the patient.
authors.affiliation: Professor Parveen Fatima, Professor (Infertility), Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.
authors.forename: P
authors.initials: P
authors.lastname: Fatima
authors.forename: M M
authors.initials: MM
authors.lastname: Hossain
authors.forename: S
authors.initials: S
authors.lastname: Ishrat
authors.forename: D
authors.initials: D
authors.lastname: Rahman
authors.forename: H B
authors.initials: HB
authors.lastname: Hossain
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000628:therapy*; D011247:Pregnancy; D011256:Pregnancy Outcome; D059286:Pregnancy, Triplet; D020554:Sperm Injections, Intracytoplasmic