Can cervical pregnancy lead to spontaneous abortion?

Cervical pregnancy is a special type of ectopic pregnancy. It is usually not easy to abort spontaneously and may cause serious complications, such as heavy bleeding or infection. You need to go to a regular hospital for treatment as soon as possible. Treatment methods include drug therapy, surgical intervention, etc.

1 Causes of cervical pregnancy

Cervical pregnancy refers to the implantation of a fertilized egg in the cervical canal. This is a rare condition with an incidence rate of less than 1%. The causes are usually classified into the following categories:

① Physiological factors: Multiple artificial abortions, curettage and dilation and other operations can damage the cervical structure, posing a hidden danger to cervical pregnancy.

②Pathological factors: Suffering from uterine and cervical diseases such as uterine fibroids and adenomyosis may increase the risk of implantation abnormalities.

③ Assisted reproductive technology: During egg retrieval or embryo transfer for in vitro fertilization, the operation may cause the fertilized egg to be in an abnormal position.

④Infectious factors: Chronic cervicitis or other inflammations can also cause changes in the uterine environment, providing conditions for cervical pregnancy.

2 Symptoms of cervical pregnancy

Cervical pregnancy often presents as abnormal vaginal bleeding, which is usually heavy and bright red, and different from normal menstruation. Some patients may also experience mild distension and pain in the lower abdomen, and the early pregnancy reaction weakens or disappears. If there is heavy bleeding or accompanied by severe abdominal pain, you should be highly vigilant.

3 Treatment methods

Because cervical pregnancy is more difficult to abort naturally and has a high risk of causing heavy bleeding, the following treatment measures are recommended:

① Drug treatment: Mifepristone, methotrexate MTX and other drugs can be used for early termination of pregnancy, suitable for patients with no obvious bleeding and small gestational sac. The doctor will decide the medication plan based on the physical condition and the state of the gestational sac.

② Physical therapy: If the disease is discovered early and the amount of bleeding is not large, electrocoagulation can be used to stop bleeding and protect the integrity of the cervix.

③Surgical intervention: If the condition is serious, it can be treated by uterine artery embolization, hysteroscopic curettage, etc. to ensure timely hemostasis and removal of pregnancy tissue. After surgery, close attention should be paid to recovery to avoid infection.

Cervical pregnancy is not a normal pregnancy in the general sense. It is difficult to have a spontaneous abortion and there are high health risks. Once the disease is diagnosed, formal medical intervention must be taken immediately and should not be delayed. Regular check-ups should be taken during pregnancy. If any signs of cervical pregnancy are found, please seek medical attention immediately to ensure early diagnosis and treatment to reduce the possibility of complications.