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 cervica...
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| Format: | Article |
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Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
2023-01-01
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| Series: | Revista Brasileira de Ginecologia e Obstetrícia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022001101014&lng=en&tlng=en |
| _version_ | 1797944886227369984 |
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| author | Karen Hiromi Mori Bárbara Virgínia Tavares Daniela Angerame Yela Luis Francisco Cintra Baccaro Cassia Raquel Teatin Juliato |
| author_facet | Karen Hiromi Mori Bárbara Virgínia Tavares Daniela Angerame Yela Luis Francisco Cintra Baccaro Cassia Raquel Teatin Juliato |
| author_sort | Karen Hiromi Mori |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-10T20:45:36Z |
| format | Article |
| id | doaj.art-2947adac44bc4c18b55a80ce23c26b25 |
| institution | Directory Open Access Journal |
| issn | 0100-7203 |
| language | English |
| last_indexed | 2024-04-10T20:45:36Z |
| publishDate | 2023-01-01 |
| publisher | Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
| record_format | Article |
| series | Revista Brasileira de Ginecologia e Obstetrícia |
| spelling | doaj.art-2947adac44bc4c18b55a80ce23c26b252023-01-24T07:35:51ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032023-01-0144111014102010.1055/s-0042-1757954Experience of a Tertiary Service in the Treatment of Women with Cervical PregnancyKaren Hiromi Morihttps://orcid.org/0000-0002-4950-6331Bárbara Virgínia Tavareshttps://orcid.org/0000-0003-4060-8515Daniela Angerame Yelahttps://orcid.org/0000-0003-3889-4778Luis Francisco Cintra Baccarohttps://orcid.org/0000-0002-8837-8061Cassia Raquel Teatin Juliatohttps://orcid.org/0000-0003-3197-1195Abstract 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022001101014&lng=en&tlng=encervical pregnancyectopic pregnancymethotrexatesurgerytreatment |
| spellingShingle | Karen Hiromi Mori Bárbara Virgínia Tavares Daniela Angerame Yela Luis Francisco Cintra Baccaro Cassia Raquel Teatin Juliato Experience of a Tertiary Service in the Treatment of Women with Cervical Pregnancy Revista Brasileira de Ginecologia e Obstetrícia cervical pregnancy ectopic pregnancy methotrexate surgery treatment |
| title | 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_short | 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 |
| topic | cervical pregnancy ectopic pregnancy methotrexate surgery treatment |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022001101014&lng=en&tlng=en |
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