Re: Isthmical-Cervical_ectopic_pregnancy

From: James S Smeltzer MD (gaperina@mindspring.com)
Wed Jun 6 22:16:00 2001


At 10:30 AM 6/6/2001 -0500, you wrote: >I have little personal experience with cervical pregnancies. It is hard for
>me to believe that a cervical ectopic pregnancy would be relatively
>asymptomatic at 10.2 weeks. It would seem more likely that this is a
>cervical incompetence (10 weeks is early for a loss due to cervical
>incompetence). In other words, the pregnancy is just falling out of the
>uterus.
>
>It is also hard to believe that this is a spontaneous abortion in progress,
>with no bleeding or contractions.
>

Look at blood flow with color.

>Can the placenta be seen? Where is it implanted? Does the fetus measure 10.2
>weeks?

Look at blood flow with color. >

a >If it is a cervical pregnancy of 10.2 weeks, is methotrexate a good
>approach? I do not know, but we certainly would not use methotrexate for a
>tubal ectopic that large! On the other hand, if it is a cervical ectopic
>pregnancy, methotrexate might cause fetal demise, lessen the vascularity,
>and thus make surgery safer after a few weeks.

Look at blood flow with color. Rx accordingly. >
>Cecilia, you are very wise to seek the advice of the world in this case. I
>hope you can post some images, and give us follow-up information.
Look at blood flow with color. >
>Joseph A Worrall MD RDMS
>




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