Article Sidebar
Article Details
The entire contents of the Tropical Journal of Obstetrics and Gynaecology are protected under Indian and international copyrights. The Journal, however, grants to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, perform and display the work publicly and to make and distribute derivative works in any digital medium for any reasonable non-commercial purpose, subject to proper attribution of authorship and ownership of the rights. The journal also grants the right to make small numbers of printed copies for their personal non-commercial use.
This journal content is distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
Main Article Content
Cervical pregnancy: Diagnosis and management options
Abstract
Ectopic pregnancy is associated with significant morbidity and mortality in the first trimester. With in vitro fertilization and better early diagnosis, the incidence of ectopic pregnancies has increased. Although cervical pregnancies are <1% of all ectopic pregnancies, they could be associated with life-threatening bleeding. Transvaginal ultrasonography is the mainstay of diagnosis of cervical pregnancy, but beta-human chorionic gonadotrophin may be helpful in monitoring treatment outcomes. Current therapeutic options for cervical pregnancies include conservative management which could be medical, surgical or both, and 'radical' surgery. The advent of real-time transvaginal ultrasound examination has allowed earlier diagnosis which has in turn permitted life-saving and fertility-sparing treatment options. Various conservative haemostatic measures may be used if bleeding occurs during conservative management. Clinicians should watch carefully for a possible increased
risk of preterm labour or incompetent cervix, while reassuring patients that most pregnancies after a cervical ectopic will lead to term deliveries.
Keywords: cervical pregnancy, transvaginal ultrasonography, methotrexate
