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Re: Cervical pregnancy From: Akhan Suleyman (akhan93@hotmail.com) Mon Apr 16 06:43:37 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul Prior MD: "Re: New Case" Previous message: Braun, R. Daniel: "Re: New Case" Maybe in reply to: Kleinman, Dr. Gary E.: "Cervical pregnancy" MTX i.m. 50 mg/m2, after 4 days if ther is no cardiac activitie you can realise D&C, if there is activity you can give the same dose. After D&C, if there are some bleeding (sometimes but not common) replace the baloon of foley catheter with 30-40 cc in to the cervix for the controle of bleeding. We used uterine arter embolisation in one patient and it's result by the atrophy of the endometrium. Süleyman Akhan M.D. >From: "Kleinman, Dr. Gary E." <pg1kle@bpthosp.org> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.medispecialty.com> >Subject: Cervical pregnancy >Date: Sat, 14 Apr 2001 11:21:17 -0500 >MIME-Version: 1.0 >Received: from [216.141.7.9] by hotmail.com (3.2) with ESMTP id >MHotMailBCA1C41F0029400437A1D88D07090A090; Sat Apr 14 09:21:52 2001 >Received: from forum (IDENT:server@localhost [127.0.0.1])by >mail.medispecialty.com (8.9.3/8.9.3) with SMTP id LAA22112;Sat, 14 Apr 2001 >11:21:17 -0500 >From ob-gyn-l@obgyn.net Sat Apr 14 09:23:01 2001 >Message-Id: <E8D13E94522FD31194430000000037C401E1F641@venus.starnet.com> >Errors-To: ob-gyn-l-request@obgyn.net >Originator: ob-gyn-l >Sender: ob-gyn-l@obgyn.net >Precedence: bulk >X-Listprocessor-Version: 6.0d -- ListProcessor by Anastasios Kotsikonas >X-Comment: Obstetrics & Gynecology for MEDICAL PROFESSIONALS ONLY > >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: Paul Prior MD: "Re: New Case" Previous message: Braun, R. Daniel: "Re: New Case" Maybe in reply to: Kleinman, Dr. Gary E.: "Cervical pregnancy"

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