First-trimester diagnosed cervico-isthmic pregnancy resulting in term delivery.

Obstet Gynecol

Department of Obstetrics and Gynecology, Butterworth Hospital, Grand Rapids, Michigan.

Published: September 1992

A 30-year-old multiparous woman at 5.5 weeks' gestation was diagnosed by ultrasound to have a cervical pregnancy. She refused termination because of religious beliefs. After expectant management until 38 weeks' gestation, she delivered a viable infant by cesarean, followed by immediate hysterectomy. Pathologic examination verified cervico-isthmic implantation as well as placenta percreta.

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