Cesarean Scar Pregnancy Resulting in Live Birth: A Case Report

Abstract

Caesarean Scar Pregnancy (CSP) is a rare form of ectopic pregnancy. The numbers of cesarean scar pregnancies have increased over the last few decades owing to increasing number of C section performed and also to increasing awareness and early ultrasound diagnosis. CSP have a high risk of uterine rupture and life-threatening hemorrhage, the pregnancy should be terminated once confirmed. There are very few cases in the literature reporting live birth as a result of such pregnancies. Here, we present a 34-years old, gravida 5 women with previous caesarian delivery. At six weeks, a transvaginal scan showed the presence of an ectopic pregnancy within the C section scar, despite this finding the pregnancy was continued to third trimester. This report suggests that successful pregnancy outcome is possible in some women with uterine cesarean scar pregnancy, but further analysis and more studies are required in order to describe the optimal protocol of expectant management of CSP.