Abstract
Incidence of cesarean scar defect ectopic pregnancy is rising due to the increasing numbers of cesarean deliveries in the United States. Various management and treatment options exist for patients with c-section scar pregnancies. Patients with suspected placenta accreta in addition to their c-section scar pregnancy are at high risk of hemorrhage and should be counseled extensively about their management options. This video will review cesarean section scar pregnancy epidemiology, management and treatment outcomes as well as the association with abnormal placentation. Additionally, it will review a case of a 45 yo G3P2 with known Stage III endometriosis and 2 prior C-sections diagnosed with a C-section scar ectopic pregnancy via ultrasound at 6 + 0 weeks, who was managed via methotrexate and ultimately hysterectomy.
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