Experience of a Tertiary Service in the Treatment of Women with Cervical Pregnancy
Abstract Objective Cervical pregnancy is challenging for the medical community, as it is potentially fatal. The treatment can be medical or surgical; however, there are no protocols that establish the best option for each case. The objective of the present study was to describe the cases of cervical pregnancy admitted to a tertiary university hospital over a period of 18 years. Methods A retrospective study based on a review of the medical records of all cervical pregnancies admitted to the Women's Hospital at Universidade Estadual de Campinas, Southeastern Brazil, from 2000 to 2018. Results We identified 13 cases of cervical pregnancy out of a total of 673 ectopic pregnancies; only 1 case was initially treated with surgery because of hemodynamic instability. Of the 12 cases treated conservatively, 7 were treated with single-dose intramuscular methotrexate, 1, with intravenous and intramuscular methotrexate, 1, with intravenous methotrexate, 1, with 2 doses of intramuscular methotrexate, and 2, with intra-amniotic methotrexate. Of these cases, one had a therapeutic failure that required a hysterectomy. Two women received blood transfusions. Four women required cervical tamponade with a Foley catheter balloon for hemostasis. There was no fatal outcome. Conclusion Cervical pregnancy is a rare and challenging condition from diagnosis to treatment. Conservative treatment was the primary method of therapy used, with satisfactory results. In cases of increased bleeding, cervical curettage was the initial treatment, and it was associated with the use of a cervical balloon for hemostasis.
Main Authors: | , , , , |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
2022
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022001101014 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:scielo:S0100-72032022001101014 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S0100-720320220011010142023-01-20Experience of a Tertiary Service in the Treatment of Women with Cervical PregnancyMori,Karen HiromiTavares,Bárbara VirgíniaYela,Daniela AngerameBaccaro,Luis Francisco CintraJuliato,Cassia Raquel Teatin cervical pregnancy ectopic pregnancy methotrexate surgery treatment Abstract Objective Cervical pregnancy is challenging for the medical community, as it is potentially fatal. The treatment can be medical or surgical; however, there are no protocols that establish the best option for each case. The objective of the present study was to describe the cases of cervical pregnancy admitted to a tertiary university hospital over a period of 18 years. Methods A retrospective study based on a review of the medical records of all cervical pregnancies admitted to the Women's Hospital at Universidade Estadual de Campinas, Southeastern Brazil, from 2000 to 2018. Results We identified 13 cases of cervical pregnancy out of a total of 673 ectopic pregnancies; only 1 case was initially treated with surgery because of hemodynamic instability. Of the 12 cases treated conservatively, 7 were treated with single-dose intramuscular methotrexate, 1, with intravenous and intramuscular methotrexate, 1, with intravenous methotrexate, 1, with 2 doses of intramuscular methotrexate, and 2, with intra-amniotic methotrexate. Of these cases, one had a therapeutic failure that required a hysterectomy. Two women received blood transfusions. Four women required cervical tamponade with a Foley catheter balloon for hemostasis. There was no fatal outcome. Conclusion Cervical pregnancy is a rare and challenging condition from diagnosis to treatment. Conservative treatment was the primary method of therapy used, with satisfactory results. In cases of increased bleeding, cervical curettage was the initial treatment, and it was associated with the use of a cervical balloon for hemostasis.info:eu-repo/semantics/openAccessFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia v.44 n.11 20222022-11-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022001101014en10.1055/s-0042-1757954 |
institution |
SCIELO |
collection |
OJS |
country |
Brasil |
countrycode |
BR |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-br |
tag |
revista |
region |
America del Sur |
libraryname |
SciELO |
language |
English |
format |
Digital |
author |
Mori,Karen Hiromi Tavares,Bárbara Virgínia Yela,Daniela Angerame Baccaro,Luis Francisco Cintra Juliato,Cassia Raquel Teatin |
spellingShingle |
Mori,Karen Hiromi Tavares,Bárbara Virgínia Yela,Daniela Angerame Baccaro,Luis Francisco Cintra Juliato,Cassia Raquel Teatin Experience of a Tertiary Service in the Treatment of Women with Cervical Pregnancy |
author_facet |
Mori,Karen Hiromi Tavares,Bárbara Virgínia Yela,Daniela Angerame Baccaro,Luis Francisco Cintra Juliato,Cassia Raquel Teatin |
author_sort |
Mori,Karen Hiromi |
title |
Experience of a Tertiary Service in the Treatment of Women with Cervical Pregnancy |
title_short |
Experience of a Tertiary Service in the Treatment of Women with Cervical Pregnancy |
title_full |
Experience of a Tertiary Service in the Treatment of Women with Cervical Pregnancy |
title_fullStr |
Experience of a Tertiary Service in the Treatment of Women with Cervical Pregnancy |
title_full_unstemmed |
Experience of a Tertiary Service in the Treatment of Women with Cervical Pregnancy |
title_sort |
experience of a tertiary service in the treatment of women with cervical pregnancy |
description |
Abstract Objective Cervical pregnancy is challenging for the medical community, as it is potentially fatal. The treatment can be medical or surgical; however, there are no protocols that establish the best option for each case. The objective of the present study was to describe the cases of cervical pregnancy admitted to a tertiary university hospital over a period of 18 years. Methods A retrospective study based on a review of the medical records of all cervical pregnancies admitted to the Women's Hospital at Universidade Estadual de Campinas, Southeastern Brazil, from 2000 to 2018. Results We identified 13 cases of cervical pregnancy out of a total of 673 ectopic pregnancies; only 1 case was initially treated with surgery because of hemodynamic instability. Of the 12 cases treated conservatively, 7 were treated with single-dose intramuscular methotrexate, 1, with intravenous and intramuscular methotrexate, 1, with intravenous methotrexate, 1, with 2 doses of intramuscular methotrexate, and 2, with intra-amniotic methotrexate. Of these cases, one had a therapeutic failure that required a hysterectomy. Two women received blood transfusions. Four women required cervical tamponade with a Foley catheter balloon for hemostasis. There was no fatal outcome. Conclusion Cervical pregnancy is a rare and challenging condition from diagnosis to treatment. Conservative treatment was the primary method of therapy used, with satisfactory results. In cases of increased bleeding, cervical curettage was the initial treatment, and it was associated with the use of a cervical balloon for hemostasis. |
publisher |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
publishDate |
2022 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022001101014 |
work_keys_str_mv |
AT morikarenhiromi experienceofatertiaryserviceinthetreatmentofwomenwithcervicalpregnancy AT tavaresbarbaravirginia experienceofatertiaryserviceinthetreatmentofwomenwithcervicalpregnancy AT yeladanielaangerame experienceofatertiaryserviceinthetreatmentofwomenwithcervicalpregnancy AT baccaroluisfranciscocintra experienceofatertiaryserviceinthetreatmentofwomenwithcervicalpregnancy AT juliatocassiaraquelteatin experienceofatertiaryserviceinthetreatmentofwomenwithcervicalpregnancy |
_version_ |
1756472602746945536 |