The menace of caesarean scar pregnancy: a management challenge in modern obstetrics

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dc.contributor.authorChoudhary, Anjalien_US
dc.contributor.authorTanwar, Meenakshien_US
dc.contributor.authorNimonkar, Shwetaen_US
dc.contributor.authorSingh, Shaillyen_US
dc.date.accessioned2020-10-16T08:07:35Z
dc.date.available2020-10-16T08:07:35Z
dc.date.issued2020-10
dc.description.abstractBackground: With the increasing caesarean section rates a new challenging evil of caesarean scar pregnancy (CSPs) has emerged. As a variant of ectopic pregnancy caesarean scar pregnancy is the rarest of all. Diagnosis and management of CSP can be challenging especially when there are no early symptoms and even lessor index of suspicion.  Objective of this endeavour was to present one institute experience of management of caesarean scar pregnancies.Methods: This are a retrospective analysis of women admitted with CSP. Detailed history, investigation, management protocols and complications were noted.Results: Of the total cases maximum women (60%) had history of previous two caesarean section. 90 % of cases were managed successfully with intra-sac or systemic methotrexate, and surgical evacuation with Foley’s catheter tamponade, only two women needed hysterectomy for uncontrolled bleeding.Conclusions: Caesarean scar pregnancy is a diagnostic and management challenge in modern obstetrics. Early ultrasound diagnosis helps in planning a successful medical treatment and serves to preserve uterus and fertility. Treatment with transabdominal intra-sac methotrexate and Foley’s catheter for tamponade is safe and effective method of treating CSPs.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, Uttarakhand, Indiaen_US
dc.identifier.citationChoudhary Anjali, Tanwar Meenakshi, Nimonkar Shweta, Singh Shailly. The menace of caesarean scar pregnancy: a management challenge in modern obstetrics. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2020 Oct; 9(10): 4057-4062en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/208074
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber10en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20204287en_US
dc.subjectCaesarean scar pregnancyen_US
dc.subjectConservative managementen_US
dc.subjectMassive haemorrhageen_US
dc.subjectMorbid placental adhesionsen_US
dc.titleThe menace of caesarean scar pregnancy: a management challenge in modern obstetricsen_US
dc.typeJournal Articleen_US
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