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Related Concept Videos

Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

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Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
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Related Experiment Video

Updated: Nov 18, 2025

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings
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Prolongated pregnancy: unusual case.

M Šmerdová, J Eim

    Ceska Gynekologie
    |February 10, 2021
    PubMed
    Summary
    This summary is machine-generated.

    This case study highlights an extremely prolonged postterm pregnancy managed with cesarean delivery. It emphasizes the critical need for patient education on postterm pregnancy risks and the option of labor induction.

    Keywords:
    aa. iliacae internae ligationabnormally invasive placentapostterm pregnancy

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    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Fetal Medicine

    Background:

    • Postterm pregnancy, defined as exceeding 42+0 weeks gestation, carries increased risks for both mother and fetus.
    • Patient refusal of recommended interventions, such as prostaglandin induction or cesarean section, can complicate management.

    Observation:

    • A 21-year-old primigravid patient presented with an extremely prolonged postterm pregnancy.
    • Despite repeated counseling, the patient declined prostaglandin induction and iterative cesarean section.
    • Delivery was ultimately performed via cesarean section at 43+3 weeks due to failed induction attempts.

    Findings:

    • The delivery revealed an abnormally invasive placenta, leading to massive hemorrhage.
    • Internal iliac artery ligation was necessary to control the severe blood loss.

    Implications:

    • This case underscores the importance of offering and discussing labor induction for postterm pregnancies.
    • Comprehensive patient education regarding the risks associated with postterm pregnancy is crucial for informed decision-making.