Prolongated pregnancy: unusual case

Czech version

Authors: M. Šmerdová; J. Eim
Authors‘ workplace: Gynekologicko-porodnické oddělení, Nemocnice Vyškov, primář MUDr. J. Eim
Published in: Ceska Gynekol 2020; 85(3): 193-196
Category: Case Report

Overview

Objective: To present a patient with prolongated postterm pregnancy.

Design: Case study.

Setting: Department of Obstetrics and Gynecology, Vyškov Hospital.

Case report: According to the literature, pregnancy that exceeds 42+0 weeks is considered to be a postterm pregnancy. We present a case of a 21-year-old primigravid women with extremely prolongated postterm pregnancy and associated complications. The patient repeatedly rejects the proposed prostaglandin induction of labor or iterative cesarean section. Pregnancy was terminated by cesarean section at 43+3 due to multiple unsuccessful attempts to induce labor in postterm pregnancy. During the surgery abnormally invasive placenta was found with massive blood loss and necessity of subsequent ligation of aa. iliacae internae.

Conclusion: Pregnant women with postterm pregnancy should be offered the possibility of induction of labor. We should educate pregnant women in detail about the risks of postterm pregnancy.

Keywords:

postterm pregnancy – abnormally invasive placenta – aa. iliacae internae ligation

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