{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T10:55:20Z","timestamp":1790765720024,"version":"4.1.0"},"reference-count":8,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pregnancy"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Cervical ectopic pregnancies are rare ectopic pregnancies inherently associated with abnormal placentation. Fertility\u2010sparing management of cervical ectopic pregnancy can have benefits for the patient, but such treatment strategies are less successful in the second trimester.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case<\/jats:title>\n                    <jats:p>We report a case of fertility\u2010sparing management of a cervical ectopic pregnancy at 22 weeks\u2019 gestation with a successful subsequent pregnancy. A misdiagnosis of threatened abortion on first\u2010trimester ultrasonography delayed accurate diagnosis of the cervical ectopic pregnancy until 20 weeks\u2019 gestation. She desired future fertility and underwent intra\u2010amniotic feticidal injection, planned uterine artery embolization, and classical hysterotomy to deliver the demised fetus. Adherent portions of the placenta were left in situ and bleeding was controlled with intracervical balloon tamponade. She underwent serial imaging throughout her postoperative, postpartum, and subsequent preconception course. Retained products completely resolved by 5 months after surgery. She conceived spontaneously 1.5 years later and had normal serial cervical length measurements. She delivered a healthy term infant via repeat Cesarean section.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Fertility\u2010sparing treatment of cervical ectopic pregnancy at advanced gestational ages may require a multimodal approach including surgery due to the degree of fetal and placental development. Attention to specific first\u2010trimester sonographic findings may help distinguish between cervical ectopic pregnancy and threatened abortion. Assessment of cervical retained product resolution and preconception ultrasound are important considerations in planning for subsequent pregnancy. Maternal fetal medicine consultation is recommended in subsequent pregnancies to assess placental location and screen for cervical insufficiency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmf2.70478","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T09:57:09Z","timestamp":1790762229000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cervical ectopic pregnancy at 22\u00a0weeks: A case with subsequent pregnancy outcome"],"prefix":"10.1002","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7100-7312","authenticated-orcid":false,"given":"Joyce Y.","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Unger","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seine","family":"Chiang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8017-5043","authenticated-orcid":false,"given":"Shani","family":"Delaney","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/17.12.3224"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004423"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2006.05.088"},{"key":"e_1_2_7_5_1","first-page":"1149","article-title":"Conservative Treatment of a Second Trimester Cervicoisthmic Pregnancy Diagnosed by Magnetic Resonance Imaging","volume":"101","author":"Itakura A.","year":"2003","journal-title":"Obstetrics and Gynecology"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.5811\/cpcem.2017.10.32029"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crwh.2022.e00385"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u20100412.2002.811018.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2003.11.034"}],"container-title":["Pregnancy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmf2.70478","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmf2.70478","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmf2.70478","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T09:57:10Z","timestamp":1790762230000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/pmf2.70478"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,30]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/pmf2.70478"],"URL":"https:\/\/doi.org\/10.1002\/pmf2.70478","archive":["Portico"],"relation":{},"ISSN":["2997-9684","2997-9684"],"issn-type":[{"value":"2997-9684","type":"print"},{"value":"2997-9684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,30]]},"assertion":[{"value":"2026-06-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70478"}}