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 language | English (US) |
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Pages (from-to) | 671-674 |
Number of pages | 4 |
Journal | Fertility and sterility |
Volume | 91 |
Issue number | 3 |
DOIs | |
State | Published - Mar 1 2009 |
Keywords
- Cervical ectopic pregnancy
- conservative management
- methotrexate
- potassium chloride injection
ASJC Scopus subject areas
- Obstetrics and Gynecology
- Reproductive Medicine