Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 11 , ISSUE 6 ( November-December, 2019 ) > List of Articles


Cervical Pregnancy: Modes of Management

Olivia Daniel, G Usha Rani

Keywords : Ectopic pregnancy, Management, Methotrexate

Citation Information : Daniel O, Usha Rani G. Cervical Pregnancy: Modes of Management. J South Asian Feder Obs Gynae 2019; 11 (6):392-396.

DOI: 10.5005/jp-journals-10006-1736

License: CC BY-NC 4.0

Published Online: 25-04-2013

Copyright Statement:  Copyright © 2019; The Author(s).


Aim: To identify the various conservative methods available for the management of ectopic pregnancy. Background: Cervical pregnancy is a rare variant of ectopic. It is associated with high morbidity and mortality. Earlier hysterectomy was the treatment of choice. But now, various conservative methods are used to preserve fertility. Here, we present four cases, each managed with a different method. Case description: This was an analysis of cervical ectopic pregnancies in our hospital. The diagnosis of cervical pregnancy was made using transvaginal ultrasound. Serum β-human chorionic gonadotropin (β-hCG) levels were measured at presentation and monitored subsequently to determine the rate of successful resolution. Medical management involved administration of systemic or intra-sac instillation of methotrexate, with or without intra-amniotic potassium chloride, suction and evacuation with the use of Foley’s tamponade, and uterine artery embolization. Conclusion: This article shows that the conservative management is safe and effective. Clinical significance: Ectopic pregnancy can be managed with the conservative methods other than resorting to hysterectomy.

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