Abstract
Background: The rate of uterus is successfully conserved following the treatment of scar pregnancy which is high so pregnancy outcome following caesarean scar ectopics is getting more and more attention. Objectives: To assess pregnancy course and outcome after conservative treatment of cesarean scar pregnancy. Methods: A retrospective case series of 40 patients become pregnancy after conservative treatment of cesarean scar pregnancy by Foley or Methotrexate and aspiration. Patients in present study were treated at Hung Vuong and Tu Du Hospital between 2015 and 2017. A telephone follow-up was conducted after cesarean scar pregnancy (CSP) treatment. The outcomes of these subsequent pregnancies and mode of delivery were all recorded. Results: In 40 pregnancies, there are 22 cases of intrauterine pregnancy with childbirth (55%); all babies were born healthy, with no complications recorded in pregnancy. 12 Women had recurrent scar ectopic (30%). There were 2 abortion cases, 2 cases of ectopic pregnancy, and 2 cases of early miscarriage. Conclusions: Our study shows that reproductive outcomes following treatment of caesarean scar ectopic pregnancies are favourable. The risk of recurrent caesarean scar ectopic pregnancy is a concern.
Highlights
Our study shows that reproductive outcomes following treatment of caesarean scar ectopic pregnancies are favourable
Patients in present study were treated at Hung Vuong Hospital and Tu Du Hospital between 2015 and 2017
From 2015 to 2017, we searched electronic medical records with the diagnosis of cesarean scar pregnancy according to code O008 of the International Classification of Diseases 10 (ICD 10) which treated at Hung Vương hospital and Tu Du Hospital
Summary
It might be caused by the trophoblast which invades a detective and thinned out myometrium in a scar which is a remnant of previous cesarean section. In South Viet Nam, majority of CSPs are case reports or small case series reported, the rate of conservative treatment appears to be increasing This rate is 85.11% in applying the method of excision of trophoblastic tissues using either laparotomy, or 97.1% when using locally and/or systemically administered methotrexate combined with surgical sac aspiration in Tu Du and Hung Vuong Hospital. The risk of recurrent caesarean scar ectopic pregnancy is a concern
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
