Perinatal management of cervicoisthmic pregnancy

被引:13
作者
Honda, T [1 ]
Hasegawa, M [1 ]
Nakahori, T [1 ]
Maeda, A [1 ]
Sai, R [1 ]
Takata, H [1 ]
Uchida, T [1 ]
Kanamoto, N [1 ]
Beppu, M [1 ]
Takahashi, A [1 ]
机构
[1] Kurashiki Cent Hosp, Dept Obstet & Gynecol, Okayama 7108602, Japan
关键词
cervical pregnancy; cervicoisthmic pregnancy; hysterectomy; intracytoplasmic sperm injection; perinatal management;
D O I
10.1111/j.1447-0756.2005.00297.x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
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.
引用
收藏
页码:332 / 336
页数:5
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