Abstract
Purpose: Cesarean scar pregnancy (CSP) is one of the rarest forms of ectopic pregnancy. A delay in treatment can lead to massive bleeding, uterine rupture, and life-threatening maternal morbidity. We present a conservative method for the management of CSP at a single tertiary centre over a 6-year period. Methods: Eleven patients with unruptured CSPs who were treated by transvaginal aspiration of the gestational sac followed by a local methotrexate injection were evaluated. Results: Gestational age at diagnosis ranged from 5 + 2 weeks to 7 + 4 weeks. Seven of the patients had undergone two prior Caesarean sections (63.6 %). The levels of β-hCG at the time of diagnosis ranged from 1,290 to 81,586 mIu/ml. The mean time of the procedure was 8.2 ± 1.6 min. During follow up, 54.5 % of the patients may need an additional systemic MTX injection due to an elevation of β-hCG. Estimated blood loss of the procedure was 20,000 mIU/ml at diagnosis.
Original language | English |
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Pages (from-to) | 361-366 |
Number of pages | 6 |
Journal | Archives of Gynecology and Obstetrics |
Volume | 288 |
Issue number | 2 |
DOIs | |
Publication status | Published - Aug 2013 |
Keywords
- Cesarean scar pregnancy
- Local injection
- Methotrexate
- Sac aspiration
- Transvaginal ultrasound
ASJC Scopus subject areas
- Obstetrics and Gynaecology