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Re: Cervical pregnancy From: Yankowitz, Jerome (jerome-yankowitz@uiowa.edu) Sat Apr 14 12:21:10 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Kleinman, Dr. Gary E.: "FW: Cervical pregnancy" Previous message: Mario Colombo, MD: "R: TVT Complications" Maybe in reply to: Kleinman, Dr. Gary E.: "Cervical pregnancy" Next in thread: Bernard Cristalli: "Re: Cervical pregnancy" I might suggest a nice review -- Yankowitz J, Leake J, Huggins G, Gazaway P and Gates E. Cervical ectopic pregnancy: Review of the literature and report of a case treated by single dose methotrexate therapy. Obstet Gynecol Surv 45:405-14, 1990. I think it still has applicable information > Jerome Yankowitz, MD > Director, Division of Maternal-Fetal Medicine > and Fetal Diagnosis and Treatment Unit > Dept of OB/GYN > Univ of Iowa Hospitals and Clinics > Telephone: 319-356-2574 > Fax No: 319-353-6759 > > ---------- > From: Kleinman, Dr. Gary E. > Reply To: ob-gyn-l@obgyn.net > Sent: Saturday, April 14, 2001 10:21 AM > To: Multiple recipients of list OB-GYN-L > Subject: Cervical pregnancy > > A 34 year g3p1 came to the ER today at 8 weeks post LMP with vaginal > bleeding for 3 weeks duration now with cramping. She was seen 3 weeks ago > and told that she had a complete spontaneous Ab. 2 weeks ago an office > scan showed a viable fetus. Today, her hemoglobin is 10.3. The cervix is > closed on speculum exam. Ultrasound shows a cervical pregnancy with fetal > heart activity. Embryonic length = 1.4 cm ( = 8 weeks). > > What is the most effective and safest way of terminating the pregnancy? > ? Systemic methotrexate (mtx) with folinic acid > ? Injection of mtx into sac > ?Systemic mtx with KCL in the sac > ?D&C with cerclage to control bleeding and or uterine artery embolization > (catheters ready and in place) if necessary > ?Does RU486 help? > > Thanks in advance for your advice. I will call Yale infertility service to > get their advice as soon as the other patients stop delivering, > > Gary Kleinman, M.D. > Bridgeport Hospital > MFM/Genetics > Next message: Kleinman, Dr. Gary E.: "FW: Cervical pregnancy" Previous message: Mario Colombo, MD: "R: TVT Complications" Maybe in reply to: Kleinman, Dr. Gary E.: "Cervical pregnancy" Next in thread: Bernard Cristalli: "Re: Cervical pregnancy"

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