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.

DESIGN

Retrospective case series.

SETTING

University tertiary care hospital.

PATIENT(S): Twenty-four women diagnosed with cervical ectopic pregnancy managed conservatively.

INTERVENTION(S): Systemic methotrexate alone or combined with ultrasound-guided fetal intracardiac injection of potassium chloride.

MAIN OUTCOME MEASURE(S): Reduction in hysterectomy rate, incidence of serious complications, and necessity for further intervention.

RESULT(S): 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.

CONCLUSION(S): Most cervical ectopic pregnancies can be safely managed in a minimally invasive manner.