Conservative management of cervical pregnancy with H2O2 irrigation of cervical canal.

Jo, Hyun Hee; Bae, Ji Yun; Byun, Sung Won; Jung, Moon Young; Jun, Chung Ra; Wee, Ji Sun; Kim, Jin Hong

Case Report

Korean Journal of Obstetrics & Gynecology 2005;48(9):2238-2246.
Published online September 1, 2005.

Conservative management of cervical pregnancy with H2O2 irrigation of cervical canal.

Hyun Hee Jo, Ji Yun Bae, Sung Won Byun, Moon Young Jung, Chung Ra Jun, Ji Sun Wee, Jin Hong Kim

Catholic University Medical College Department of Obstetrics and Gynecology, Korea. Endogy@hanmail.net

Abstract

Prevent vaginal bleeding before and after conservative management of cervical pregnancy is the important part of the treatment. We can choose two methode for the conservative management of cervical pregnancy. One is curettage and bleeding control, and the other is using fetocidal agent. Most frequently used fetocidal agent is methotrexate. But additional treatment would be needed after single dose of MTX, and for multiple dosage of MTX, one should be hospitalized about 7 to 10 days. We have used H2O2 intracervical irrigation through enema syringe for conservative management of cervical pregnancy, which is very useful and has no risk of consequent bleeding. So we report it with brief review of literatures.

Key Words: Cervical pregnancy, H2O2 intracervical irrigation, Conservative management