Browsing by Author "Tiwari, Akhilesh"
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Publication Cervical Ectopic Pregnancy with Unsupervised Intake of Medications for Abortion: A Case Report(Nepal Medical Association, 2023) Rayamajhi, Amod; Rayamajhi, Anjana Karki; Adhikari, Arohi; Basnet, Prapti; Tiwari, AkhileshAbstract Cervical ectopic pregnancy is the rarest form of ectopic pregnancy, where implantation occurs in the mucosa of the endocervical canal, below the internal os. Medical abortion is a safe and effective method of termination of early intrauterine pregnancies when carried out under the supervision of trained service providers. Unfortunately, unsupervised misuse of such methods can lead to grave morbidities, especially in ectopic pregnancies. We report a case of a 29-year-old female with cervical ectopic pregnancy, with a history of self-induced medical abortion. Her assumption that her pregnancy had been terminated caused a delay in seeking treatment, which led to complications during management. Ultrasonography revealed features suggestive of cervical ectopic pregnancy and evacuation of the fetus and placenta was done using curettage, during which she had uncontrolled severe vaginal bleeding leading to need of emergency hysterectomy.