Conservative management of cervical pregnancy in a woman with multiple previous cesarean sections

Cervical pregnancies (CPs) are dangerous due to associated life-threatening haemorrhage requiring massive blood transfusions and a possible need for hysterectomy. The main aim in the management is to prevent hysterectomy especially in young women who desire fertility. If diagnosed early, conservative management of an asymptomatic CP using systemic or local medical treatment seems superior to the surgical intervention. Surgical intervention as a primary mode of treatment may cause severe haemorrhage. The optimum therapeutic option for symptomatic CP is still unclear. We report a case of cervical pregnancy initially misdiagnosed as threatened miscarriage- in a woman with previous multiple cesarean sections.