Two cases of cervical pregnancy following in vitro fertilization and embryo transfer to the lower uterine cavity

Bennett, Stephen; Waterstone, John; Parsons, John; Creighton, Sarah M.

doi:10.1007/bf01204450

Cited by 41 publications

(26 citation statements)

References 9 publications

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“…Limited vaginal bleeding is relatively common (8%) at the entrance site of the OPU needle; this can often be stopped by compression, although suturing is sometimes required. [16,17]. Acute haemorrhage from the ovary, and bleeding or hematomas due to vascular damage in the uterus, ovary, and iliac vein are very rare (0.04-0.07%), but may require surgical intervention when they do occur [16,18].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of complications developing during and after transvaginal ultrasound — guided oocyte retrieval

2018

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Objectives: To investigate the complications of the oocyte retrieval procedure currently used in in vitro fertilisation. Material and methods:We examined 1.031 patients who underwent oocyte retrieval in the IVF unit of our hospital for complications developed during and after the procedure. Results:No complications developed related to sedation or general anaesthesia. Vaginal bleeding was observed in 3.1% of the patients. There was no intra-abdominal bleeding or pelvic organ injuries requiring surgery. Two patients developed pelvic abscesses. Ovarian hyperstimulation syndrome (OHSS) occurred in 1.45% of the patients. Almost all of the patients tolerated the oocyte retrieval process well. After the procedure, only 2% of the patients described their pain as severe, and 0.4% as the worst pain they had ever experienced. Conclusions:The most common complication during oocyte retrieval is vaginal bleeding, which is largely controlled by buffer application. In conclusion, the oocyte retrieval process can be considered a safe procedure.

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Section: Discussionmentioning

confidence: 99%

Evaluation of complications developing during and after transvaginal ultrasound — guided oocyte retrieval

2018

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“…c) Invitro fertilization and embryo transfer (IVF-ET) : Recently CEPs have been increasingly reported with assisted reproductive techniques including both intrauterine and intrafallopian tube embryo transfers. [15][16][17][18][19][20][21] d) However, it has to be stated that the absolute risk remains rather small, because these factors are common but cervical pregnancy is rare.…”

Section: Etiologymentioning

confidence: 99%

Cervical ectopic pregnancy: 10 year experience at tertiary care hospital and current literature review

Prameela

Dev

2016

Int J Reprod Contracept Obstet Gynecol

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“…Heterotopic pregnancies have been linked to IVF, especially embryo transfer procedures, and other factors such as the number of embryos transferred [6], ovarian stimulation, and tubal damage also play a role in its occurrence [7].…”

Section: Discussionmentioning

confidence: 99%

Treatment of Heterotopic Cervical and Intrauterine Pregnancy

et al. 2000

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Objective: To find a suitable technique to selectively terminate a cervically implanted embryo while maintaining viability of a concomitant intrauterine pregnancy. Methods: A 34-year-old patient achieved a twin pregnancy after 4 IVF attempts. Ultrasound revealed a viable intrauterine and cervical pregnancy. Given our experience with KCl injection for fetal reduction, we offered the patient an attempt to reduce the cervical pregnancy. Results: Best visualization in this case was obtained by transabdominal scanning. A 6-inch 20-gauge spinal needle was inserted transcervically and maneuvered into the thorax of the embryo. Fetal heart rate ceased even before KCl could be injected. Then 3 cm³ of saline were injected to provide better visualization of the cervical fetus, and to confirm absence of heart beat. The patient had minor vaginal bleeding for several days. The intrauterine pregnancy progressed uneventfully through 36¹/₂ weeks with delivery of a healthy, 2,700-gram newborn. Conclusion: Cervical pregnancy is usually considered a life-threatening event. Other factors such as concomitant intrauterine pregnancy and the patient’s infertility history generally would be secondary concerns. In this case, we were able to selectively terminate the cervical pregnancy, while preserving the intrauterine one, allowing this couple to have a healthy newborn. Further cases will be necessary to appropriately define risk rates for such an approach.

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Two cases of cervical pregnancy following in vitro fertilization and embryo transfer to the lower uterine cavity

Cited by 41 publications

References 9 publications

Evaluation of complications developing during and after transvaginal ultrasound — guided oocyte retrieval

Evaluation of complications developing during and after transvaginal ultrasound — guided oocyte retrieval

Cervical ectopic pregnancy: 10 year experience at tertiary care hospital and current literature review

Treatment of Heterotopic Cervical and Intrauterine Pregnancy

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