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Management of cervical pregnancy: risk factors for failed systemic methotrexate

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Published/Copyright: June 1, 2005
Journal of Perinatal Medicine
From the journal Volume 32 Issue 2

Abstract

Cervical pregnancy is a rare obstetrical complication. Conservative management with systemic methotrexate has been reported to be successful, obviating the need for surgical treatment which entails a risk for hysterectomy. We report the case of a nulliparous patient with a cervical pregnancy diagnosed at 9 weeks' gestation who after systemic methotrexate treatment necessitated conservative surgical management. This patient highlights the utility of identified risk factors for failure of methotrexate treatment.

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Published Online: 2005-06-01
Published in Print: 2004-03-15

Copyright © 2004 by Walter de Gruyter GmbH & Co. KG

Articles in the same Issue

  1. Fetal cardiovascular response to large placental chorioangiomas
  2. Characteristics of mothers who delivered the heaviest, average-weight, and lightest triplet sets
  3. Amniotic fluid concentrations of collagenase-1 and collagenase-3 are increased in polyhydramnios
  4. Oxytocic activity of thrombin: modulation of thrombin-induced gravid rat myometrial contractions by 5-hydroxytryptamine receptor antagonists
  5. Structural-tridimensional study of yolk sac in pregnancies complicated by diabetes
  6. Is cervical dilatation during parturition at term associated with apoptosis?
  7. Amnioreduction in patients with bulging prolapsed membranes out of the cervix and vaginal orifice in cervical cerclage
  8. The association of birthweight with maternal and cord serum and amniotic fluid growth hormone and insulin levels, and with neonatal and maternal factors in pregnant women who delivered at term
  9. Ultrasonographic fetal weight estimation: accuracy of formulas and accuracy of examiners by birth weight from 500 to 5000 g
  10. Atypical chronic lung disease in preterm infants
  11. Clinical characteristics and follow up of Down syndrome infants without congenital heart disease who presented with persistent pulmonary hypertension of newborn
  12. Mortality and long term morbidity in esophageal atresia: the reduced impact of low birth weight and maturity on surgical outcome
  13. Non-hydropic intrauterine fetal death more than five months after primary parvovirus B19 infection
  14. HELLP syndrome, multifactorial thrombophilia and postpartum myocardial infarction
  15. Management of cervical pregnancy: risk factors for failed systemic methotrexate
  16. Autologous cord blood transfusion in an infant with a huge sacrococcygeal teratoma
  17. Intussusception in a preterm neonate; a very rare, major intestinal problem – systematic review of cases
  18. Book review
https://doi.org/10.1515/JPM.2004.034

Articles in the same Issue

  1. Fetal cardiovascular response to large placental chorioangiomas
  2. Characteristics of mothers who delivered the heaviest, average-weight, and lightest triplet sets
  3. Amniotic fluid concentrations of collagenase-1 and collagenase-3 are increased in polyhydramnios
  4. Oxytocic activity of thrombin: modulation of thrombin-induced gravid rat myometrial contractions by 5-hydroxytryptamine receptor antagonists
  5. Structural-tridimensional study of yolk sac in pregnancies complicated by diabetes
  6. Is cervical dilatation during parturition at term associated with apoptosis?
  7. Amnioreduction in patients with bulging prolapsed membranes out of the cervix and vaginal orifice in cervical cerclage
  8. The association of birthweight with maternal and cord serum and amniotic fluid growth hormone and insulin levels, and with neonatal and maternal factors in pregnant women who delivered at term
  9. Ultrasonographic fetal weight estimation: accuracy of formulas and accuracy of examiners by birth weight from 500 to 5000 g
  10. Atypical chronic lung disease in preterm infants
  11. Clinical characteristics and follow up of Down syndrome infants without congenital heart disease who presented with persistent pulmonary hypertension of newborn
  12. Mortality and long term morbidity in esophageal atresia: the reduced impact of low birth weight and maturity on surgical outcome
  13. Non-hydropic intrauterine fetal death more than five months after primary parvovirus B19 infection
  14. HELLP syndrome, multifactorial thrombophilia and postpartum myocardial infarction
  15. Management of cervical pregnancy: risk factors for failed systemic methotrexate
  16. Autologous cord blood transfusion in an infant with a huge sacrococcygeal teratoma
  17. Intussusception in a preterm neonate; a very rare, major intestinal problem – systematic review of cases
  18. Book review
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