Management of cervical pregnancy: risk factors for failed systemic methotrexate

Hidalgo, Luis A.
Peñafiel, Jaime
Chedraui, Peter A.

¹ High Risk Pregnancy Unit, Enrique C. Sotomayor Obstetrics and Gynecology Hospital, Guayaquil, Ecuador
² Institute of Biomedicine, Facultad de Ciencias Médicas, Universidad Católica de Santiago de Guayaquil, Ecuador

^*Corresponding author: Peter Chedraui, MD Institute of Biomedicine, Facultad de Ciencias Médicas Universidad Católica de Santiago de Guayaquil PO Box 09-01-4671 Guayaquil, Ecuador

Tel./Fax: +(5934) 220-6958,

E-mail: [email protected]

Received May 15, 2003. Accepted August 28, 2003.

Journal of Perinatal Medicine 32(2):p 184-186, 2004.

Cervical pregnancy is a rare obstetrical complication. Conservative management with systemic methotrexate has been reported to be successful, obviating the need for surgical treatment which entails a risk for hysterectomy. We report the case of a nulliparous patient with a cervical pregnancy diagnosed at 9 weeks' gestation who after systemic methotrexate treatment necessitated conservative surgical management. This patient highlights the utility of identified risk factors for failure of methotrexate treatment.