Conservative management of cervical ectopic pregnancy

Usha Verma, Nima Goharkhay

Research output: Contribution to journalArticle

44 Scopus citations

Abstract

Objective: To evaluate the safety and efficacy of a minimally invasive approach in the management of cervical ectopic pregnancies. Design: Retrospective case series. Setting: University tertiary care hospital. Patient(s): Twenty-four women diagnosed with cervical ectopic pregnancy managed conservatively. Intervention(s): Systemic methotrexate alone or combined with ultrasound-guided fetal intracardiac injection of potassium chloride. Main Outcome Measure(s): Reduction in hysterectomy rate, incidence of serious complications, and necessity for further intervention. Result(s): Conservative management of cervical ectopic pregnancy was successful in preventing the need for hysterectomy in all patients in our study. In two patients with a heterotopic gestation the intrauterine pregnancy could successfully be salvaged. Four patients experienced morbidity that required additional interventions. Conclusion(s): Most cervical ectopic pregnancies can be safely managed in a minimally invasive manner.

Original languageEnglish (US)
Pages (from-to)671-674
Number of pages4
JournalFertility and sterility
Volume91
Issue number3
DOIs
StatePublished - Mar 1 2009

Keywords

  • Cervical ectopic pregnancy
  • conservative management
  • methotrexate
  • potassium chloride injection

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

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