Document Detail

Cervical pregnancy--a forgotten entity in family practice.
MedLine Citation:
PMID:  9228624     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Cervical pregnancy is a rare form of ectopic pregnancy that is associated with considerable maternal morbidity and a high mortality rate if early diagnosis and treatment are not carried out in a timely fashion. METHODS: The current medical literature was reviewed by searching MEDLINE files from 1985 to 1996, using the key words "ectopic pregnancy" and "cervical pregnancy." Older articles were accessed from cross-reference of the more recent publications. RESULTS: The incidence of cervical pregnancy is 1 in 2400 deliveries and represents less than 1.0 percent of all ectopic pregnancies. No clear cause of cervical pregnancy has been described, and criteria for the clinical, pathologic, and sonographic diagnosis have been well established. The most common clinical complaint is painless vaginal bleeding. Routine transvaginal sonography early on allows for conservative management and avoids adverse outcomes. Methotrexate administered systemically and by intra-amniotic instillation are the therapeutic options of choice. Gestational age and the presence or absence of fetal cardiac activity are major prognostic factors for its success. CONCLUSION: Earlier diagnosis of cervical pregnancy using sonography and conservative management of this condition have reduced considerably the morbidity and mortality associated with this rare form of ectopic pregnancy and have helped preserve a woman's future fertility.
D A Acosta
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of the American Board of Family Practice / American Board of Family Practice     Volume:  10     ISSN:  0893-8652     ISO Abbreviation:  J Am Board Fam Pract     Publication Date:    1997 Jul-Aug
Date Detail:
Created Date:  1997-09-02     Completed Date:  1997-09-02     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8807505     Medline TA:  J Am Board Fam Pract     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  290-5     Citation Subset:  IM    
Tacoma Family Medicine Family Practice Residency, WA, USA.
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MeSH Terms
Cervix Uteri* / ultrasonography
Family Practice
Patient Care Team*
Pregnancy, Ectopic / surgery,  ultrasonography*
Ultrasonography, Prenatal*
Uterine Hemorrhage / surgery,  ultrasonography
Vacuum Curettage

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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