Trans–Cervical Fine Needle Aspiration of the Amniotic Fluid in a Cervical Pregnancy: ‘Taming the Hornet´s Nest’
Dr. Vijaya Koothan N0 8, 13 Cross,
Anna Nagar Pondicherry, Indai - 605005.
Cervical pregnancy is a rare obstetric complication with the inherent risks of haemorrhage and eventually, the life saving hysterectomy. Since the late 1980s, a conservative management with methotrexate has been widely practised, with a substantial success rate. The incidence of the alarming haemorrhage, though it is diminished by the medical therapy, still remains a cause for anxiety, for an unpredictable period of time. We are presenting here a case of 26-year old primi-gravida at 7 weeks, with a viable cervical gestation, which was initially managed medically. A week after the cessation of the medical therapy, a rarely attempted procedure in such conditions, trans-cervical fine needle partial aspiration of the amniotic fluid which was guided by a trans-abdominal Ultra-Sonogram (USG) was done, which enabled the expulsion of the Products of Conception (POC) within the next 48 hours uneventfully.