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Cervical pregnancy treated with a single intravenous administration of methotrexate plus oral folinic acid
Author(s) -
Margolis K.
Publication year - 2000
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.2000.tb03348.x
Subject(s) - medicine , folinic acid , pregnancy , methotrexate , caesarean section , obstetrics , regimen , fertility , cervical pregnancy , ectopic pregnancy , gynecology , surgery , chemotherapy , fluorouracil , population , environmental health , biology , genetics
SUMMARY Cervical pregnancy is a rare form of ectopic pregnancy and at present there is no consensus as to the most appropriate treatment. A patient with a 6‐week cervical pregnancy was successfully treated with a single intravenous administration of methotrexate and oral folinic acid without any adjuvant therapy. Her recovery was uncomplicated. She subsequently conceived and was delivered by Caesarean section of a live healthy male baby. The efficacy of the described regimen in the management of a cervical pregnancy requires further assessment. This modality of treatment does not appear to adversely affect fertility and future pregnancies.