Perinatal management of cervicoisthmic pregnancy
Article first published online: 7 JUL 2005
Journal of Obstetrics and Gynaecology Research
Volume 31, Issue 4, pages 332–336, August 2005
How to Cite
Honda, T., Hasegawa, M., Nakahori, T., Maeda, A., Sai, R., Takata, H., Uchida, T., Kanamoto, N., Beppu, M. and Takahashi, A. (2005), Perinatal management of cervicoisthmic pregnancy. Journal of Obstetrics and Gynaecology Research, 31: 332–336. doi: 10.1111/j.1447-0756.2005.00297.x
- Issue published online: 7 JUL 2005
- Article first published online: 7 JUL 2005
- Received: November 15 2004. Accepted: April 22 2005.
- cervical pregnancy;
- cervicoisthmic pregnancy;
- intracytoplasmic sperm injection;
- perinatal management
Cervicoisthmic pregnancy has a high risk of abortion or preterm delivery, and only 11 cases of live birth have been reported since 1980. In addition, almost all cases require blood transfusion and hysterectomy because of profuse bleeding after delivery of the placenta. A 39-year-old nulliparous woman who became pregnant after a fourth intracytoplasmic sperm injection was diagnosed with cervicoisthmic pregnancy on ultrasonography at 6 weeks’ gestation. A healthy neonate was delivered by cesarean section at 32 weeks, but hysterectomy and blood transfusion were required. Perinatal management is discussed.