Conservative management of cervical ectopic pregnancy

Objective: To evaluate the safety and efficacy of a minimally invasive approach in the management of cervical ectopic pregnancies. Design: Retrospective case series. Setting: University tertiary care hospital. Patient(s): Twenty-four women diagnosed with cervical ectopic pregnancy managed conservatively. Intervention(s): Systemic methotrexate alone or combined with ultrasound-guided fetal intracardiac injection of potassium chloride. Main Outcome Measure(s): Reduction in hysterectomy rate, incidence of serious complications, and necessity for further intervention. Result(s): Conservative management of cervical ectopic pregnancy was successful in preventing the need for hysterectomy in all patients in our study. In two patients with a heterotopic gestation the intrauterine pregnancy could successfully be salvaged. Four patients experienced morbidity that required additional interventions. Conclusion(s): Most cervical ectopic pregnancies can be safely managed in a minimally invasive manner. (Fertil Steril (R) 2009;91:671-4. (C) 2009 by American Society for Reproductive Medicine.)