{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T13:10:19Z","timestamp":1788786619157,"version":"build-2803163510"},"reference-count":22,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"no funder"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background: Managing urinary calculi during a multiple gestation pregnancy presents significant clinical challenges, which require rigorous care to prevent adverse maternal and fetal outcomes. This report aims to offer clinical nursing references by summarizing the management of a complex pregnancy complicated by ureteral calculi and thyrotoxicosis. Case Presentation: A patient with a twin gestation complicated by a ureteral calculus and thyrotoxicosis was managed with nurse-led continuous care within a physician-directed multidisciplinary framework. During hospitalization, interdisciplinary medical and nursing teams continuously monitored maternal and fetal vital signs to establish individualized surgical and nursing regimens. Post-discharge integrated care was delivered via online and offline follow-up, incorporating collaborative assessments from the obstetrics, endocrinology, and psychology departments, alongside multidimensional physical care and targeted psychological counseling. Conclusions: With standardized treatment and continuous nursing intervention, the patient delivered healthy boy-girl twins by caesarean section at 37 weeks of gestation, followed by successful ureteroscopic lithotripsy and uncomplicated hospital discharge. This case illustrates a feasible approach to nurse-led continuous care within a physician-directed multidisciplinary framework for complex, high-risk pregnancies. As this is a single case, the findings should be interpreted cautiously and require further validation.<\/jats:p>","DOI":"10.3390\/jcm15176910","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T12:12:25Z","timestamp":1788783145000},"page":"6910","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nurse-Led Care: A Case Report of Twin Pregnancy Complicated by Ureteral Calculus and Thyrotoxicosis"],"prefix":"10.3390","volume":"15","author":[{"given":"Qiong","family":"Yu","sequence":"first","affiliation":[{"name":"Department of Urology, The University of Hong Kong-Shenzhen Hospital, Shenzhen 518000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, The University of Hong Kong-Shenzhen Hospital, Shenzhen 518000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, The University of Hong Kong-Shenzhen Hospital, Shenzhen 518000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7470-5108","authenticated-orcid":false,"given":"Rong","family":"Na","sequence":"additional","affiliation":[{"name":"Department of Urology, The University of Hong Kong-Shenzhen Hospital, Shenzhen 518000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinliang","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Urology, The University of Hong Kong-Shenzhen Hospital, Shenzhen 518000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1111\/bju.14765","article-title":"The status and characteristics of urinary stone composition in China","volume":"125","author":"Ye","year":"2020","journal-title":"BJU Int."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1089\/end.2019.0557","article-title":"Incidence, treatment, and implications of kidney stones during pregnancy: A matched population-based cohort study","volume":"34","author":"Ordon","year":"2020","journal-title":"J. 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