Re: A case of cervical pregnancy

From: Judy V. Schmidt (NURJSC@NURSE.EMORY.EDU)
Mon Apr 28 12:45:27 1997


As a point of interest: I participated in the care of a woman with a cervical pregnancy who delivered a viable female at ~30 weeks. She was transported to a tertiary center, undiagnosed, for preterm labor. Initially, we thought she had an abdominal pregnancy. She complained that the baby had been kicking her rectum and sitting on her bladder the whole pregnancy. Has anyone else seen a viable outcome? Her cesarean, bladder reconstruction, hysterectomy, subsequent hemorrhage and critical status were certainly unforgetable, unfavorable outcomes.

Subject: Re: A case of cervical pregnancy >Asymptomatic 27 y/o primigravida with a live 9.3 wk cervical pregnancy, was
>managed with 4 doses of MTX Now, the US finds a 10.1 wk pregnancy, embryo
still alive.

Two options: -Ultrasound directed cardiac KCL infusion-should be able to hit that at 10 weeks -Selective embolization of feeder vessels-interventional radiology

Have seen both work.

Lynn

Judy Schmidt,Ed.D.,RNC Emory University nurjsc@nurse.emory.edu





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