A Consequence of Cesarean Delivery: First-Trimester Cesarean Scar Pregnancy

2016 ◽  
pp. 299-325
Author(s):  
Ilan E. Timor-Tritsch ◽  
Ana Monteagudo ◽  
Terri-Ann Bennett
Keyword(s):  
Cesarean Delivery ◽  
First Trimester ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar

scholarly journals Ruptured Cesarean Scar Pregnancy: A Case Report

2019 ◽  
Vol 57 (217) ◽  
Author(s):  
Prishita Shah ◽  
Rosina Manandhar ◽  
Meena Thapa ◽  
Rachana Saha
Keyword(s):  
Case Report ◽  
Uterine Rupture ◽  
First Trimester ◽  
Emergency Laparotomy ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Maternal Morbidity And Mortality ◽  
Subsequent Loss ◽  
Ectopic Pregnancies ◽  
Previous Cesarean

Cesarean scar pregnancy is a rare variant of ectopic pregnancy where the fertilized ovum gets implanted in the myometrium of the previous cesarean scar. The incidence of CSP among ectopic pregnancies is 6.1% and it is seen in approximately 1 in 2000 normal pregnancies.As trophoblastic invasion of the myometrium can result in uterine rupture and catastrophic hemorrhage termination of pregnancy is the treatment of choice if diagnosed in the first trimester. Expectant treatment has a poor prognosis and may lead to uterine rupture which may require hysterectomy and subsequent loss of fertility. We present a case report of a 24year old femaleG2P1L1with ruptured cesarean scar pregnancy who underwent emergency laparotomy and subsequently hysterectomy. In this case report, we aim to discuss ruptured cesarean scar pregnancy as obstetric emergency and methods by which we can make an early diagnosis that can be managed appropriately as to prevent maternal morbidity and mortality.

Outcomes of primary surgical evacuation during the first trimester in different types of implantation in women with cesarean scar pregnancy

2014 ◽  
Vol 102 (4) ◽  
pp. 1085-1090.e2 ◽  
Author(s):  
Ling-Yun Cheng ◽  
Chen-Bin Wang ◽  
Li-Ching Chu ◽  
Chih-Wen Tseng ◽  
Fu-Tsai Kung
Keyword(s):  
First Trimester ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Surgical Evacuation ◽  
Different Types

First-Trimester Cesarean Scar Pregnancy Evolving Into Placenta Previa/Accreta at Term

2005 ◽  
Vol 24 (11) ◽  
pp. 1569-1573 ◽  
Author(s):  
Jara Ben Nagi ◽  
Dede Ofili-Yebovi ◽  
Mike Marsh ◽  
Davor Jurkovic
Keyword(s):  
Placenta Previa ◽  
First Trimester ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar

Spontaneous first-trimester perforation of the uterus following Cesarean scar pregnancy choriocarcinoma

2016 ◽  
Vol 47 (4) ◽  
pp. 519-521 ◽  
Author(s):  
D. M. Sherer ◽  
M. Dalloul ◽  
Y. Cho ◽  
S. R. Mylvaganam ◽  
I. Adeyemo ◽  
...  
Keyword(s):  
First Trimester ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar

First‐trimester treatment of cesarean scar pregnancy using a cervical ripening—double‐balloon catheter: A case report

2020 ◽  
Vol 48 (5) ◽  
pp. 298-300
Author(s):  
Maria Donata Spazzini ◽  
Antonella Villa ◽  
Cristina Maffioletti ◽  
Federica Mariuzzo ◽  
Giuseppe Calì
Keyword(s):  
Case Report ◽  
Balloon Catheter ◽  
First Trimester ◽  
Cervical Ripening ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Double Balloon

scholarly journals Ultrasound Detection of Lacunae-like Image of a Cesarean Scar Pregnancy in the First Trimester

2013 ◽  
Vol 80 (1) ◽  
pp. 70-73 ◽  
Author(s):  
Atsuko Sekiguchi ◽  
Naotaka Okuda ◽  
Ikuno Kawabata ◽  
Akihito Nakai ◽  
Toshiyuki Takeshita
Keyword(s):  
First Trimester ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar

scholarly journals The Trend of the Distribution of Ectopic Pregnancy Sites and the Clinical Characteristics of Cesarean Scar Pregnancy

2021 ◽  
Author(s):  
Panpan Tang ◽  
Xiaomao Li ◽  
Wenwei Li ◽  
Yunhui Li ◽  
Yu Zhang ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Cesarean Delivery ◽  
Clinical Characteristics ◽  
Clinical Manifestations ◽  
Cesarean Scar Pregnancy ◽  
Variation Trend ◽  
Cesarean Scar ◽  
Increasing Trend ◽  
Common Sign ◽  
Cesarean Delivery Rate

Abstract Objective: To investigate the distribution and its variation trend of the ectopic site and the clinical characteristics of cesarean scar pregnancy, to provide clues for further clinical practice. Methods: 3915 patients are brought into our study. To calculate the distribution of the implantation of ectopic pregnancy. Then analyze with trend χ2 test and calculate the quantity of each type of ectopic pregnancy during the year 2012-2015 and the year 2016-2019 to analyze the variation trend. Results: 1. The proportion of each site of ectopic pregnancy is as following: tubal pregnancy (84.70%), ovarian pregnancy (1.56%), cesarean scar pregnancy (8.63%), abdominal pregnancy (0.61%), cornual pregnancy (2.68%), cervical pregnancy (0.49%), heterotopic pregnancy (0.43%). 2. Through trend χ2 test, the ratio of cesarean scar pregnancy to ectopic pregnancy showed an increasing trend(P=0.005). From the year 2012-2015 to the year 2016-2019, the ratio of cesarean scar pregnancy to ectopic pregnancy increased from 5.74% to 11.81%(P<0.001). 3.72.78%(246/338) cesarean scar pregnancy patients had cesarean delivery once, 25.15%(85/338) had cesarean delivery twice, and 2.07%(7/338) had cesarean delivery three times. 80.18%(271/338) had aborted before. The most common clinical manifestations are amenorrhea (98.52%), abdominal pain (25.74%) and vaginal bleeding (67.76%), the most common sign is hysterauxesis (46.75%). Conclusion: As the increasing of the ratio of cesarean scar pregnancy to ectopic pregnancy, the cesarean delivery rate should be decreased to decrease the morbidity of cesarean scar pregnancy.

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