{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:23:22Z","timestamp":1768433002980,"version":"3.49.0"},"reference-count":28,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"11","license":[{"start":{"date-parts":[[2022,12,29]],"date-time":"2022-12-29T00:00:00Z","timestamp":1672272000000},"content-version":"vor","delay-in-days":58,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003Cervical pregnancy is challenging for the medical community, as it is potentially fatal. The treatment can be medical or surgical; however, there are no protocols that establish the best option for each case. The objective of the present study was to describe the cases of cervical pregnancy admitted to a tertiary university hospital over a period of 18 years.<\/jats:p><jats:p>\n          Methods\u2003A retrospective study based on a review of the medical records of all cervical pregnancies admitted to the Women's Hospital at Universidade Estadual de Campinas, Southeastern Brazil, from 2000 to 2018.<\/jats:p><jats:p>\n          Results\u2003We identified 13 cases of cervical pregnancy out of a total of 673 ectopic pregnancies; only 1 case was initially treated with surgery because of hemodynamic instability. Of the 12 cases treated conservatively, 7 were treated with single-dose intramuscular methotrexate, 1, with intravenous and intramuscular methotrexate, 1, with intravenous methotrexate, 1, with 2 doses of intramuscular methotrexate, and 2, with intra-amniotic methotrexate. Of these cases, one had a therapeutic failure that required a hysterectomy. Two women received blood transfusions. Four women required cervical tamponade with a Foley catheter balloon for hemostasis. There was no fatal outcome.<\/jats:p><jats:p>\n          Conclusion\u2003Cervical pregnancy is a rare and challenging condition from diagnosis to treatment. Conservative treatment was the primary method of therapy used, with satisfactory results. In cases of increased bleeding, cervical curettage was the initial treatment, and it was associated with the use of a cervical balloon for hemostasis.<\/jats:p>","DOI":"10.1055\/s-0042-1757954","type":"journal-article","created":{"date-parts":[[2022,12,29]],"date-time":"2022-12-29T23:42:17Z","timestamp":1672357337000},"page":"1014-1020","source":"Crossref","is-referenced-by-count":4,"title":["Experience of a Tertiary Service in the Treatment of Women with Cervical Pregnancy"],"prefix":"10.61622","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4950-6331","authenticated-orcid":false,"given":"Karen Hiromi","family":"Mori","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4060-8515","authenticated-orcid":false,"given":"B\u00e1rbara Virg\u00ednia","family":"Tavares","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3889-4778","authenticated-orcid":false,"given":"Daniela Angerame","family":"Yela","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8837-8061","authenticated-orcid":false,"given":"Luis Francisco Cintra","family":"Baccaro","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3197-1195","authenticated-orcid":false,"given":"Cassia Raquel Teatin","family":"Juliato","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"47794","published-online":{"date-parts":[[2022,12,29]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1097\/00006254-199701000-00023","article-title":"Cervical pregnancy: past and future","volume":"52","author":"F B Ushakov","year":"1997","journal-title":"Obstet Gynecol Surv"},{"issue":"06","key":"ref2","doi-asserted-by":"publisher","first-page":"655","DOI":"10.1016\/j.jemermed.2011.05.048","article-title":"Cervical ectopic pregnancy diagnosed by point-of-care emergency department ultrasound","volume":"41","author":"V Modayil","year":"2011","journal-title":"J Emerg Med"},{"issue":"02","key":"ref3","doi-asserted-by":"publisher","first-page":"603","DOI":"10.1111\/jog.12185","article-title":"Cervical pregnancy: a report of four cases","volume":"40","author":"K Kochi","year":"2014","journal-title":"J Obstet Gynaecol Res"},{"issue":"05","key":"ref4","first-page":"675","article-title":"Cervical pregnancy: diagnosis and management","volume":"42","author":"D J Rothe","year":"1973","journal-title":"Obstet Gynecol"},{"issue":"02","key":"ref5","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1016\/0002-9378(69)90075-1","article-title":"Cervical pregnancy as a possible sequela of induced abortion. 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