{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T21:17:32Z","timestamp":1783113452827,"version":"3.54.6"},"reference-count":10,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,12,9]],"date-time":"2023-12-09T00:00:00Z","timestamp":1702080000000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,12]]},"abstract":"\n Key Clinical Message<\/jats:title>\n Prompt coordinated care enables vaginal delivery for severe goiter\u2010induced airway compression in late pregnancy when expectant management is precluded.<\/jats:p>\n <\/jats:sec>\n \n Abstract<\/jats:title>\n Long\u2010standing neglected multinodular goiter rarely causes life\u2010threatening airway compression in late pregnancy. Most cases report cesarean delivery to relieve respiratory distress. Vaginal birth may also be possible, but the evidence is limited. A 30\u2010year\u2010old woman with a 7\u2010year goiter history developed severe dyspnea at 34\u2009weeks gestation. Despite the risks, labor was induced by urgent decompression. She vaginally delivered a premature but healthy infant. Her breathing improved after delivery. She later underwent an uncomplicated thyroidectomy. With careful selection and monitoring, vaginal delivery can be considered for goiter\u2010induced respiratory compromise when expectant management is precluded. This case demonstrates successful urgent decompression and favorable maternal\u2010fetal outcomes are possible with a coordinated approach despite the high\u2010risk scenario.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ccr3.8303","type":"journal-article","created":{"date-parts":[[2023,12,9]],"date-time":"2023-12-09T23:11:30Z","timestamp":1702163490000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Neglected massive multinodular goiter during pregnancy with dyspnea and successful normal delivery: A case report"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5643-8050","authenticated-orcid":false,"given":"Maguzu L.","family":"Nganga","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Mbeya Zonal Referral Hospital Mbeya Tanzania"},{"name":"Mbeya College of Health and Allied Sciences University of Dar es Salaam Mbeya Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7227-3564","authenticated-orcid":false,"given":"Clement N.","family":"Mweya","sequence":"additional","affiliation":[{"name":"Mbeya College of Health and Allied Sciences University of Dar es Salaam Mbeya Tanzania"},{"name":"Mbeya Medical Research Centre National Institute for Medical Research Mbeya Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrendo.2011.1"},{"key":"e_1_2_12_3_1","volume-title":"Assessment of Iodine Deficiency Disorders and Monitoring Their Elimination: A Guide for Programme Managers","author":"WHO\/UNICEF\/ICCIDD","year":"2007"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2015.0020"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2023.1101410"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.14740\/jocmr3202w"},{"key":"e_1_2_12_7_1","volume-title":"Endotext","author":"Lazarus J","year":"2000"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beem.2004.03.005"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1210\/er.2009-0041"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2019-229763"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588409X359196"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8303","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.8303","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8303","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T20:26:51Z","timestamp":1783110411000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.8303"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":10,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1002\/ccr3.8303"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.8303","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12]]},"assertion":[{"value":"2023-08-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e8303"}}