Viable cervical pregnancy managed with systemic Methotrexate, uterine artery embolization, and local tamponade with inflated Foley catheter balloon.

Abstract:

:We present an unusual case of a primigravida with a viable cervical pregnancy diagnosed by transvaginal ultrasound and magnetic resonance imaging. Staggered conservative therapeutic measures included systemic high-dose Methotrexate with Folinic acid rescue followed by bilateral embolization of the uterine arteries in response to active cervical bleeding despite declining serum beta-human chorionic gonadotropin levels. Continued active cervical bleeding responded to local tamponade with an inflated Foley catheter balloon positioned within the cervical canal. Conservative treatment was successful, with complete resolution of the cervical pregnancy, resumption of normal menstrual cycles, and a normal transvaginal ultrasonographic appearance of the cervical canal, documented 8 weeks after the initial diagnosis. This case and review of the literature support that various staggered conservative hemostatic measures may be used at various points in which bleeding may occur in the conservative management algorithm of cervical pregnancy.

journal_name

Am J Perinatol

authors

Sherer DM,Lysikiewicz A,Abulafia O

doi

10.1055/s-2003-42341

subject

Has Abstract

pub_date

2003-07-01 00:00:00

pages

263-7

issue

5

eissn

0735-1631

issn

1098-8785

journal_volume

20

pub_type

杂志文章,评审
  • Understanding the Heterogeneity of Labor and Delivery Units: Using Design Thinking Methodology to Assess Environmental Factors that Contribute to Safety in Childbirth.

    abstract:OBJECTIVE:There is limited research exploring the relationship between design and patient safety outcomes, especially in maternal and neonatal care. We employed design thinking methodology to understand how the design of labor and delivery units impacts safety and identified spaces and systems where improvements are ne...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0039-1685494

    authors: Sherman JP,Hedli LC,Kristensen-Cabrera AI,Lipman SS,Schwandt D,Lee HC,Sie L,Halamek LP,Austin NS,Safety Learning Laboratory for Neonatal and Maternal Care.

    更新日期:2020-05-01 00:00:00

  • Nasogastric versus Orogastric Bolus Tube Feeding in Preterm Infants: Pilot Randomized Clinical Trial.

    abstract:OBJECTIVE: According to the most recent metanalysis, the best way to establish safe enteral feeding in preterm babies using nasogastric or orogastric tubes is still not well understood. This study aimed to determine the effects of bolus nasal tubes versus bolus orogastric tubes on the time required to reach full entera...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1713865

    authors: Badran AT,Hashish M,Ali A,Shokeir M,Shabaan A

    更新日期:2020-07-03 00:00:00

  • Developmental aspects of percutaneous caffeine absorption in premature infants.

    abstract::Caffeine is commonly used in the treatment of apnea of prematurity. The skin of preterm infants varies considerably in its level of maturity. To understand skin absorption in low birthweight infants (less than 1500 gm) with gestational age between 26 and 34 weeks, a group of 56 preterm babies was studied after percuta...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999282

    authors: Amato M,Hüppi P,Isenschmid M,Schneider H

    更新日期:1992-09-01 00:00:00

  • Conservative versus aggressive management of preterm rupture of membranes. A randomized trial of amniocentesis.

    abstract::Amniocentesis to guide the management of preterm pregnancies complicated by premature rupture of the membranes (PROM) has been adopted at several centers. The purpose of this study was to evaluate this practice prospectively among comparable groups of patients, which has not previously been reported. Forty-seven patie...

    journal_title:American journal of perinatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2007-1000031

    authors: Cotton DB,Gonik B,Bottoms SF

    更新日期:1984-07-01 00:00:00

  • Transient hyperinsulinism in an asphyxiated newborn infant with hypoglycemia.

    abstract::We describe a case of transient hyperinsulinism in an asphyxiated newborn infant with hypoglycemia. Although hypoglycemia in birth asphyxiated infants is generally attributed to depletion of glycogen stores, we observed severe hyperinsulinism associated with the hypoglycemia. The hypoglycemia was refractory to high gl...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2001-15504

    authors: Clark W,O'Donovan D

    更新日期:2001-06-01 00:00:00

  • Fractured clavicle in the neonate: a retrospective three-year review.

    abstract::A hospital-based case-controlled study was undertaken to determine maternal and neonatal characteristics associated with fractured clavicle. A total of 11,604 consecutive vaginal deliveries of liveborn infants in vertex presentation at the Mount Sinai Hospital from 1988 to 1990 were reviewed. Maternal and neonatal cha...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994546

    authors: Brown BL,Lapinski R,Berkowitz GS,Holzman I

    更新日期:1994-09-01 00:00:00

  • Sudden unexpected death in a neonate.

    abstract::A sudden and unexpected death, at 26 hours of age, of a term infant with no identifiable risk factors either in the prenatal or in the immediate neonatal period is described. The most remarkable postmortem findings were confined to the lungs, which had many areas of aspirated amniotic fluid, as well as extensive areas...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999592

    authors: Imaizumi SO,Balsara GR

    更新日期:1989-07-01 00:00:00

  • Accuracy of clinically estimated fetal weight in pregnancies complicated by diabetes mellitus and obesity.

    abstract:OBJECTIVE:To determine the accuracy of clinically estimated fetal weight (CEFW) in patients with gestational diabetes (GDM), pregestational diabetes (DM), and obesity. STUDY DESIGN:This is a retrospective analysis of Consortium of Safe Labor data. Subjects were classified into six groups: DM, DM and obese, GDM, GDM an...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0033-1334450

    authors: Drassinower D,Timofeev J,Huang CC,Benson JE,Driggers RW,Landy HJ

    更新日期:2014-01-01 00:00:00

  • Severe aortic thrombosis in the neonate--successful treatment with low-molecular-weight heparin: two case reports and review of the literature.

    abstract::Small- to moderate-sized aortic thrombi in the sick newborn are frequently demonstrated, however, severe aortic thrombosis is rarely encountered. We report two newborn infants presenting with signs of decreased lower limb perfusion shortly after birth. An occlusive infrarenal aortic thrombus was demonstrated in both i...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2000-9975

    authors: Klinger G,Hellmann J,Daneman A

    更新日期:2000-01-01 00:00:00

  • Pregnancy management and successful outcome of Ehlers-Danlos syndrome type IV.

    abstract::Ehlers-Danlos syndrome type IV (EDS IV) is a rare but serious disorder of connective tissue that is characterized by the abnormal production or secretion of type III collagen. Experience with pregnant patients exhibiting this syndrome is limited. This report describes the successful management of a pregnancy in a woma...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999756

    authors: Weinbaum PJ,Cassidy SB,Campbell WA,Rickles FR,Vintzileos AM,Nochimson DJ,Tsipouras P

    更新日期:1987-04-01 00:00:00

  • Serum erythropoietin quantitation in pregnancy using an enzyme-linked immunoassay.

    abstract::During normal pregnancy there is a decrease in the hematocrit due to a disproportionate increase in the blood volume compared with the red cell mass. Using a new enzyme-linked immunoassay (Amgen Diagnostics), serum erythropoietin was quantified in normal nonanemic pregnancies throughout gestation and in third trimeste...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994778

    authors: Harstad TW,Mason RA,Cox SM

    更新日期:1992-07-01 00:00:00

  • Prophylactic pelvic artery catheterization and embolization in women with placenta accreta: can it prevent cesarean hysterectomy?

    abstract::We present the outcome of a relatively large cohort of women with suspected placenta accreta who underwent prophylactic pelvic artery catheterization prior to cesarean section. All pregnant women with suspected placenta accreta who delivered in one tertiary center were included in this retrospective study. All patient...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0030-1247599

    authors: Sivan E,Spira M,Achiron R,Rimon U,Golan G,Mazaki-Tovi S,Schiff E

    更新日期:2010-06-01 00:00:00

  • Prognosis of hypertension first documented during labor.

    abstract::In order to assess the prognosis of hypertension first documented during labor, an inception cohort of all women with hypertension complicating pregnancy was assembled. In this cohort, even extreme elevations of blood pressure, regardless of the degree of proteinuria, were not associated with either maternal or fetal ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999799

    authors: Ales KL,Charlson ME

    更新日期:1987-10-01 00:00:00

  • The prognosis of Rh-affected pregnancies: an exception to the usual rule.

    abstract::A patient with a homozygous marital partner had three progressively less seriously involved RH-positive babies after a fetal demise due to erythroblastosis. Only the first of the three required fetal transfusions. All were Rh genotypically identical. The case is presented for interest and to illustrate an exception to...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999655

    authors: Perkins RP

    更新日期:1988-01-01 00:00:00

  • The effects of pH and osmolality on bacterial growth in amniotic fluid in a laboratory model.

    abstract::In studying the effects of amniotic fluid on bacterial growth in a laboratory model, we noted that the pH of the fluid appeared to exert an independent effect. This study was designed to test the ability to control the growth of Escherichia coli in amniotic fluid simply by controlling two important growth conditions, ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994674

    authors: Silver HM,Siler-Khodr T,Prihoda TJ,Gibbs RS

    更新日期:1992-03-01 00:00:00

  • Effect of different phototherapy lights on incubator characteristics and dynamics under three modes of servocontrol.

    abstract::Phototherapy is one of the most common therapeutic interventions in modern neonatal medicine. Analysis of physiological responses to phototherapy requires understanding the physical effects of incident light under different modes of environmental control. In this study, we tested the effect of initiation of photothera...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994402

    authors: Dollberg S,Atherton HD,Hoath SB

    更新日期:1995-01-01 00:00:00

  • Oral Ibuprofen and ductus arteriosus in premature infants: a randomized pilot study.

    abstract::The purpose of this study was to evaluate the feasibility of the use oral ibuprofen suspension (OIS) in the treatment of patent ductus arteriosus (PDA) in premature infants. Premature infants (

    journal_title:American journal of perinatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-2007-976550

    authors: Aly H,Lotfy W,Badrawi N,Ghawas M,Abdel-Meguid IE,Hammad TA

    更新日期:2007-05-01 00:00:00

  • Periventricular leukomalacia and prenatal methamphetamine exposure: a case report.

    abstract::Periventricular leukomalacia (PVL) is a complication of prematurity that carries a high risk of long-term neurologic morbidity. We report the first case, to our knowledge, of unexpected PVL associated with in utero methamphetamine exposure in a 30-week gestation premature infant with a benign hospital course, who subs...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-970079

    authors: Murphy CR,Bell EF,Sato Y,Klein JM

    更新日期:2007-02-01 00:00:00

  • Buccal versus Vaginal Misoprostol for Term Induction of Labor: A Retrospective Cohort Study.

    abstract:OBJECTIVE:To compare the efficacy of similar buccal and vaginal misoprostol doses for induction of labor. STUDY DESIGN:Retrospective chart review of 207 consecutive women undergoing term induction of labor with misoprostol. Misoprostol route and dosing were collected. Time to delivery and other labor outcomes (e.g., v...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1675219

    authors: Dorr ML,Pierson RC,Daggy J,Quinney SK,Haas DM

    更新日期:2019-06-01 00:00:00

  • Risk factors for placenta accreta: a large prospective cohort.

    abstract:OBJECTIVE:Placenta previa and prior cesarean delivery are known risk factors for placenta accreta. However, other risk factors have not been identified. Our objective was to examine risk factors for accreta using data collected prospectively in a large multicenter cohort. STUDY DESIGN:Secondary analysis of women with ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-0033-1361833

    authors: Bowman ZS,Eller AG,Bardsley TR,Greene T,Varner MW,Silver RM

    更新日期:2014-10-01 00:00:00

  • Effect of clinical and histological chorioamnionitis on the outcome of preterm infants.

    abstract::Chorioamnionitis contributes to neonatal and maternal morbidity and mortality. We aimed to evaluate of the impact of clinical and histological chorioamnionitis on mortality and morbidity of preterm infants. Maternal and neonatal data were collected in a retrospective cohort of preterm infants less than 30 weeks' gesta...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0032-1321501

    authors: Nasef N,Shabaan AE,Schurr P,Iaboni D,Choudhury J,Church P,Dunn MS

    更新日期:2013-01-01 00:00:00

  • A case of retroperitoneal ectopic pregnancy following IVF-ET in a patient with previous bilateral salpingectomy.

    abstract::The numbers of ectopic pregnancies have increased because of the popularization of assisted reproductive techniques. However, the retroperitoneal space is an exceptional location for ectopic pregnancy because the entrance to the retroperitoneal space is unknown. A woman 31 years of age who had received bilateral salpi...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-1004829

    authors: Iwama H,Tsutsumi S,Igarashi H,Takahashi K,Nakahara K,Kurachi H

    更新日期:2008-01-01 00:00:00

  • Incidence of respiratory disorders in neonates born between 34 and 36 weeks of gestation following exposure to antenatal corticosteroids between 24 and 34 weeks of gestation.

    abstract::We studied the effect of antenatal corticosteroids on the incidence of respiratory disorders in singleton neonates born between 34 and 36 weeks of gestation. Retrospective analysis was conducted of the incidence of respiratory distress syndrome (RDS) and other respiratory disorders (need for mechanical ventilation, co...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-1022470

    authors: Ventolini G,Neiger R,Mathews L,Adragna N,Belcastro M

    更新日期:2008-02-01 00:00:00

  • A rapid and safe method to detect fetal parvovirus B19 infection in amniotic fluid by polymerase chain reaction: report of a case.

    abstract::Molecular amplification of parvovirus B19 DNA in an amniotic fluid sample was used to confirm the etiologic agent of a case with fetal hydrops. The polymerase chain reaction (PCR) method used is easy and fast to perform. We have a 2-year experience on its use in clinical parvovirus B19 diagnosis. The results are avail...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994518

    authors: Nikkari S,Ekblad U

    更新日期:1995-11-01 00:00:00

  • Association between Breast Milk and Bronchopulmonary Dysplasia: A Single Center Observational Study.

    abstract::Introduction Bronchopulmonary dysplasia (BPD) is a frequent, long-term complication in very low-birth-weight (VLBW) newborns. Its etiology is multifactorial and the oxidative stress is one of its main causes. Breast milk (BM) reduces oxidative stress and provides antioxidant protection, therefore, BM may have a protec...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0036-1586503

    authors: Fonseca LT,Senna DC,Silveira RC,Procianoy RS

    更新日期:2017-02-01 00:00:00

  • Diagnosis and treatment of fetal arrhythmia.

    abstract:AIMS:Detection and careful stratification of fetal heart rate (FHR) is extremely important in all pregnancies. The most lethal cardiac rhythm disturbances occur during apparently normal pregnancies where FHR and rhythm are regular and within normal or low-normal ranges. These hidden depolarization and repolarization ab...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1372430

    authors: Wacker-Gussmann A,Strasburger JF,Cuneo BF,Wakai RT

    更新日期:2014-08-01 00:00:00

  • Clinical Features of Neonates with Hydrops Fetalis.

    abstract:OBJECTIVE:The objective of this study was to evaluate the clinical characteristics of neonates with hydrops fetalis to improve recognition of the disease. PATIENTS AND METHODS:The clinical data of 10 neonates with hydrops fetalis were retrospectively studied. Prenatal characteristics, causes, clinical features, and pr...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0035-1552934

    authors: An X,Wang J,Zhuang X,Dai J,Lu C,Li X,Yan Y

    更新日期:2015-11-01 00:00:00

  • Perceptions of webcams in the neonatal intensive care unit: here's looking at you kid!

    abstract:INTRODUCTION:Many tertiary neonatal units employ a restricted visiting policy. Webcams have previously been implemented in the neonatal unit setting in several countries. OBJECTIVES:This study aims to determine the views from parents, physicians, and nursing staff before implementation of a webcam system. METHODS:A q...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0034-1376388

    authors: Hawkes GA,Livingstone V,Ryan CA,Dempsey EM

    更新日期:2015-02-01 00:00:00

  • Birth Tourism and Neonatal Intensive Care: A Children's Hospital Experience.

    abstract::Objective The aim of this article is to examine characteristics of birth tourism (BT) neonates admitted to a neonatal intensive care unit (NICU). Methods This was a retrospective review over 3 years; BT cases were identified, and relevant perinatal, medical, social, and financial data were collected and compared with ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0036-1584139

    authors: Mikhael M,Cleary JP,Dhar V,Chen Y,Nguyen DV,Chang AC

    更新日期:2016-12-01 00:00:00

  • Neutrophil chemotaxis and random migration in preterm and term infants with sepsis.

    abstract::The aim of this study was to evaluate neutrophil chemotaxis and random migration in healthy newborn infants and septic neonates with similar gestational and postnatal age. Possible relationships between chemotactic activity, random migration, causative microorganisms, and clinical course of septic infants were also in...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2000-9507

    authors: Türkmen M,Satar M,Atici A

    更新日期:2000-01-01 00:00:00