Cervical pregnancy

Abstract

Cervical ectopic pregnancy (CEP) accounts for 0.15 % of all ectopic pregnancies, 0.1 % of all in vitro fertilization (IVF) pregnancies, and 3.7 % of all IVF ectopic pregnancies. In the past, CEPs were diagnosed late and many women ended up with hysterectomies as a consequence of catastrophic bleeding. Increased awareness and ultrasound examination provide means for early diagnosis and lead to decreased morbidity and mortality. Patients diagnosed with CEP should be admitted and treated initially as inpatients. Patients who are hemodynamically stable can be treated with multidose methotrexate. Adjuvant treatment includes uterine artery embolization. However, prompt surgical management is required when CEP presents with life-threatening bleeding.