title: First-trimester diagnosed cervico-isthmic pregnancy resulting in term delivery.
abstract: A 30-year-old multiparous woman at 5.5 weeks' gestation was diagnosed by ultrasound to have a cervical pregnancy. She refused termination because of religious beliefs. After expectant management until 38 weeks' gestation, she delivered a viable infant by cesarean, followed by immediate hysterectomy. Pathologic examination verified cervico-isthmic implantation as well as placenta percreta.
authors.affiliation: Department of Obstetrics and Gynecology, Butterworth Hospital, Grand Rapids, Michigan.
authors.forename: R D
authors.initials: RD
authors.lastname: Jelsema
authors.forename: L
authors.initials: L
authors.lastname: Zuidema
mesh_terms: D000328:Adult; D002584:Cervix Uteri; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007231:Infant, Newborn; D011247:Pregnancy; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000601:surgery; D016216:Ultrasonography, Prenatal