Chart 1. Characteristics and treatment of the cases of cervical pregnancy.
| N O | Age (years) | Parity index | GA | Initial diagnosis | Ultrasonography findings | β-hCG (IU/l) | Initial treatment | Additional treatment |
|---|---|---|---|---|---|---|---|---|
| 1 | 39 | G2C1 | 6 + 2 | Anembryonic pregnancy | 4-cm cervical gestational sac | 129,57 | Methotrexate IM | None |
| 2 | 26 | G6C2A3 | 6 + 5 | Cervical ectopic pregnancy | Hematometra 79 × 47 × 62 mm, cervical gestation, and invasion of decidua into the myometrium, FHB present | 88,878 | Cervical curettage, vacuum aspiration, Foley catheter balloon | None |
| 3 | 30 | G3C1A1 | 10 + 5 | Cervical ectopic pregnancy | Isthmic pregnancy, CRL 38 mm, FHB present | 75,810 | AF aspiration, intracardiac injection of xylocaine, and intra-amniotic injection of methotrexate 50 mg | None |
| 4 | 32 | G6P5C3 | 9 + 5 | Cervical ectopic pregnancy in abortion | Cervical ectopic pregnancy in abortion: heterogeneous oval image, 5.7 × 8.4 mm | 4,585 | Methotrexate EV and methotrexate IM | None |
| 5 | 28 | G4P2A1 | 8 + 0 | Embryonic death in the cervical region | Gestational sac 25 × 19 × 14 mm, with 12-mm embryo in the cervical region, without FHB | 3,678 | Methotrexate IM | None |
| 6 | 35 | G3P1A1 | 9 + 3 | Cervical ectopic pregnancy | 28-mm gestational sac with an embryo, 11 mm distant from the IO, FHB present | ≥ 10,00 | AF aspiration, intracardiac injection of xylocaine and intra-amniotic injection of methotrexate 87.5 mg | None |
| 7 | 31 | G3C2 | 6 + 1 | Cervical ectopic pregnancy | Cervical ectopic pregnancy of GA 6 + 2, with live embryo | ≥ 10,000 | Methotrexate IM | Cervical curettage |
| 8 | 25 | G3C1A1 | 10 + 2 | Ectopic pregnancy in Cesarean section scar | Cervical region just below cesarean section scar – an image of 23 × 27 × 33 mm may correspond to cervical ectopic pregnancy | 642 | Methotrexate IM | None |
| 9 | 21 | G3P1A1 | 9 + 0 | Incomplete abortion in the cervical canal | Heterogeneous nodular formation in the cervical canal with extension to the serosa measuring 42 × 38 × 35mm, with gestational sac without embryo | 6,598 | Methotrexate IM | Curettage and Foley catheter balloon |
| 10 | 37 | G3P2C1 | 9 + 0 | Cervical ectopic pregnancy | Cervical ectopic pregnancy with the presence of the gestational sac only | 10,185 | Methotrexate IM | None |
| 11 | 44 | G1P0 | 7 + 1 | Cervical ectopic pregnancy | Pregnancy in the cervical-uterine body transition, with embryo and FHB present | 78,839 | Methotrexate EV | Curettage, Foley catheter balloon, hysterectomy |
| 12 | 33 | G2A1 | 5 + 6 | Cervical ectopic pregnancy | Anechoic image in cervical region 21 × 13 × 11mm, diameter: 15mm, 2.9-mm CRL embryo, FHB present | 7,683 | Methotrexate IM | Methotrexate IM |
| 13 | 33 | G1 | 6 + 3 | Cervical embryonic death | Gestational sac 14 × 6 × 11 mm, with implantation on the cervix, with no sign of rupture, with Doppler flux, presence of an embryo | 6,548 | Methotrexate IM | Cervical Foley catheter |
Abbreviations: A, abortion; AF, amniotic fluid; C, cesarean delivery; CRL, crown-rump length; EV, endovenous; FHB, fetal heartbeat; G, gravity; GA, gestational age; IM, intramuscular; IO, internal os; P, deliveries; β-hCG, beta-human chorionic gonadotropin.