Cesarean Scar Pregnancy HHHoldorf
What is it? Pregnancy sac located on the scar of a previous cesarean delivery Diagnosis is difficult False diagnosis can lead to hysterectomy or major complications Incidence ranges 1 per 8000 and 1 per 2500 cesarean deliveries
Possible Risk Factors Pregnancy occurring within 1 year of a cesarean delivery or after the first cesarean delivery Previous abortions Late diagnosis results in a more invasive method of termination Possible scenario : reoccurring cesarean pregnancy or normal routine pregnancy
Common Case Descriptions No discomfort, abdominal pain or vaginal bleeding Experienced amenorrhea Quick recovery time ex: patient discharged hours later with no complications
Effective Treatment and Diagnosis Transvaginal sonography most sufficient diagnostic tool Less used diagnostic methods : MRI and hysteroscopy Suction curettage most effective treatment in early cesarean pregnancy
Cesarean Scar Pregnancy
Conclusion Cesarean scar pregnancy has become a more serious problem in the last 10 years Not enough time and research has been conducted in order to provide accurate risk factors, diagnostic methods or treatment methods Over time research with larger case series can help determine these unknown factors