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Re: Cervical pregnancy From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Sat Apr 14 15:54:13 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Mats O. Bergstrom: "Re: TVT Complications" Previous message: Deborah J. Wage: "VBAC policies" In reply to: Kleinman, Dr. Gary E.: "Cervical pregnancy" Next in thread: Robert J. Carpenter, Jr: "Re: Cervical pregnancy" Reply: Robert J. Carpenter, Jr: "Re: Cervical pregnancy" Another approach, although I agree with MTX, would be D&C and a Foley balloon in the cervical canal to tamponade the bleeding. -- Richard Chudacoff, MD -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Kleinman, Dr. Gary E. Sent: Saturday, April 14, 2001 11:21 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: Mats O. Bergstrom: "Re: TVT Complications" Previous message: Deborah J. Wage: "VBAC policies" In reply to: Kleinman, Dr. Gary E.: "Cervical pregnancy" Next in thread: Robert J. Carpenter, Jr: "Re: Cervical pregnancy" Reply: Robert J. Carpenter, Jr: "Re: Cervical pregnancy"

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