Conservative management of cervical ectopic pregnancy.
OBJECTIVE
To evaluate the safety and efficacy of a minimally invasive approach in the management of cervical ectopic pregnancies.


METHODS
Retrospective case series.


METHODS
University tertiary care hospital.


METHODS
Twenty-four women diagnosed with cervical ectopic pregnancy managed conservatively.


METHODS
Systemic methotrexate alone or combined with ultrasound-guided fetal intracardiac injection of potassium chloride.


METHODS
Reduction in hysterectomy rate, incidence of serious complications, and necessity for further intervention.


RESULTS
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.


CONCLUSIONS
Most cervical ectopic pregnancies can be safely managed in a minimally invasive manner.
Verma
Usha
U
Department of Obstetrics and Gynecology, Miller School of Medicine, University of Miami, Miami, Florida 33101, USA. uverma@med.miami.edu
Goharkhay
Nima
N
D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage*; D000032:Abortion, Therapeutic / Q000009:adverse effects / Q000379:methods*; D000328:Adult; D004359:Drug Therapy, Combination; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007267:Injections; D008727:Methotrexate / Q000008:administration & dosage*; D011189:Potassium Chloride / Q000008:administration & dosage*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D012189:Retrospective Studies; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D016216:Ultrasonography, Prenatal
D000020:Abortifacient Agents, Nonsteroidal; D011189:Potassium Chloride; D008727:Methotrexate