Conservative management of nontubal ectopic pregnancies

Usha Verma, Diana English, Kathleen Brookfield

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

Objective: To report successful conservative management of nontubal ectopic pregnancies. Design: Retrospective case series. Setting: University tertiary-care hospital. Patient(s): Sixty-four women with diagnosis of nontubal ectopic pregnancies (cervical, cornual, and cesarean section scar) were treated with minimally invasive procedures. Intervention(s): Systemic methotrexate alone or combined with ultrasound-guided fetal intracardiac injection of potassium chloride. Main Outcome Measure(s): Success of the treatment, preservation of the uterus, rate of serious complications, and the need for additional interventions. Result(s): Conservative treatment was successful in 63 patients with nontubal ectopic pregnancies. One patient had rupture of cornual pregnancy and underwent cornual resection. None of the patients in this case series required hysterectomy. This series included four patients with heterotopic pregnancies, three of whom continued intrauterine pregnancy to term gestation after conservative treatment. Seven patients experienced minimal morbidity that was treated with additional nonsurgical interventions. Conclusion(s): Conservative management and fertility preservation is feasible in most nontubal ectopic pregnancies.

Original languageEnglish (US)
Pages (from-to)1391-1395.e1
JournalFertility and sterility
Volume96
Issue number6
DOIs
StatePublished - Dec 2011

Keywords

  • Cervical ectopic pregnancy
  • cesarean section scar pregnancy
  • conservative management
  • cornual ectopic pregnancy
  • methotrexate
  • potassium chloride

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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