Background: Molar pregnancies are rare and pose unique challenges when a live fetus coexists. This case report sheds light on the intricacies of managing such cases and highlights the scarcity of literature on this subject. The introduction provides an overview of molar pregnancies, emphasizing the rarity of cases involving a live fetus and the challenges in their management. 

Case: The patient, a 23-year-old gravid woman, exhibited symptoms at 28 weeks, including per vaginal spotting. Following thorough investigations and careful consideration of risks, she opted to continue the pregnancy. The case culminated in a preterm delivery at 34 weeks, resulting in a healthy male baby, weighing 1.8 kg, with no congenital abnormalities. 

Conclusion: Pregnancy with a hydatidiform mole and a live fetus carries a substantial risk of poor fetal outcome. However, this instance demonstrates that a hydatidiform mole can coexist with a live fetus and result in a live delivery of a normal fetus. 

Keywords: Gestational trophoblastic, live fetus, hydatidiform mole, multidisciplinary management.

Milia Tamanna Rahman completed her M.B.B.S from Bangladesh Medical College, Dhaka, in 2006. Pursuing advanced professional training, she obtained her postgraduate degree (F.C.P.S) in 2019, specializing in Obstetrics & Gynaecology. She is a fellow of the American College of Surgeons, reflecting on her commitment to maintaining high standards of clinical excellence and professional development. Alongside her clinical work, she has made significant contributions to medical research, with numerous publications in both international and national journals. Currently, she serves as an assistant professor in the department of Obstetrics & Gynaecology at Sylhet MAG Osmani Medical College, Bangladesh. In this role, she is actively involved in patient care, medical education, and research, contributing to the advancement of women’s health and the training of future physicians.