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Updated: Jul 5, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Severe complication after termination of a second trimester cervical pregnancy
Miriam M F Hanstede1, Dirk B van't Hof, Krijn van Groningen
1Department of Obstetric and Gynaecology, Spaarne Ziekenhuis, Hoofddorp, The Netherlands.
Objective:
To report a supracervical hysterectomy performed after a life-threatening hemorrhage due to an attempted surgical termination at a gestational age of 18 weeks, which appeared to be a cervical pregnancy.
Design:
Case report.
Setting:
Teaching hospital.
Patient(S):
A 36-year-old pregnant woman, with two previous cesarean sections.
Intervention(S):
Supracervical hysterectomy.
Main Outcome Measure(S):
Not applicable.
Result(S):
A stable patient.
Conclusion(S):
By missing a cervical pregnancy in the second trimester, a life-threatening hemorrhage occurred after an attempted surgical termination. In case of failure of the conservative therapy this rare diagnosis should be considered. A supracervical hysterectomy at this gestational age is the only therapeutic option.
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