Pregnancy is not normally found in the cervix, but is located
just above the uterus. This rare condition in which pregnancy is located below
the cervix is called cervical pregnancy. This is a kind of ectopic pregnancy.
Ectopic pregnancy is also available in tubes, abdomen, ovaries, etc. It may
occur.
Cervical pregnancy is one of the rarest forms of ectopic
pregnancy. Less than 1% of ectopic pregnancies are cervical pregnancy. The
incidence of cervical pregnancy increases in patients who receive IVF. Cervical
pregnancy occurs in about a thousandth of patients who receive tube. In one
study, 3.7% of ectopic pregnancies occurring in IVF applications were reported
to be cervical pregnancies. Although it is not clear why the rate of cervical
pregnancy increases in IVF applications, it is discussed on the theories such
as the implantation capability of the embryo, as it does not acquire the
implantation ability yet, so it does not hold in the womb and consequently
settles in the cervix. It is not known why cervical pregnancies occur in normal
patients without IVF. Having previously undergone procedures such as cesarean
or abortion may increase the risk.
The diagnosis can be made easily by seeing pregnancy in the
cervix on transvaginal ultrasound. Sometimes MR is used in diagnosis.
The most important risk of cervical pregnancy is that it can
cause excessive bleeding. Therefore, its treatment is important. In its
treatment, metotrexate drug therapy or surgical methods are used as used in other
ectopic pregnancies. If there is a heart beat during pregnancy, potash chloride
injection can be made into the gestational sac to stop this. Pregnancy is risky
with curettage. Because it can cause excessive bleeding. In this case, it may
be necessary to urgently remove the uterus (hysterectomy surgery) or
angiographic uterine artery embolization (occlusion of the vessel) to stop
bleeding. To prevent excessive bleeding, uterine artery embolization can be
performed before curettage and bleeding can be reduced by applying a balloon
catheter to the cervix after curettage. The obstruction of the vessels going to
the cervix by angiographic method (uterine artery embolization) decreases the
blood supply to the cervix and thus the pregnancy here, thereby disrupting the
nutrition of the pregnancy and thereby causing pregnancy to disappear.
Depending on the size of the pregnancy and bleeding of the patient, the urgency
of the condition, medication treatment (methotrexate), uterine artery
embolization, hysterectomy and uterus surgery, curettage are combined.
-ECTOPIC PREGNANCY
-HETEROTOPIC PREGNANCY
-SILENT MISCARRIAGE (MISSED MISCARRIAGE)
-MOLAR PREGNANCY
-OVARIAN PREGNANCY
-CERVICAL PREGNANCY
-CERVICAL INSUFFICIENCY
