THE CERVICAL PREGNANCY - A GYNECOLOGICAL AND OBSTETRIC URGENCY

The cervical pregnancy is defined as the implantation of the blastocys t into the cervical canal. The characteristic clinical sign is a sever e asymptomatic uterine bleeding in early pregnancy or during curettage . Prior to 1978, correct preoperative diagnosis was rare and in almost all cases a hysterectomy was performed. Today, transvaginal sonograph y allows early diagnosis, and conservative treatment (two-time treatme nt: first treatment with systemic or intraamniotic methotrexate, secon dly with curettage or ligature of the uterine arteries) improves the p rospects of fertility.