Reproductive outcomes after previous cesarean scar pregnancy: Follow up of 189 women

Abstract

Even though our result did not necessarily represent the true recurrence rate, our study provided some evidence about the likelihood of fertility and recurrence risk for future pregnancies after previous CSP.

Reproductive outcomes following cesarean scar pregnancy – a case series and review of the literature

“…According to published case series and also data from our unit, the rate of rCSP (rate of rCSP = number of recurrent CSP/number of subsequent conceptions) was as high as 1 in 3 to 1 in 21 [16,[18][19][20]27]. In our unit, there was 1 rCSP observed in 9 pregnancies conceived after the first CSP.…”

“…This result is comparable to a previous study of 40 CSPs by Ben Nagi et al [19] who reported that 21 of 24 women (87.5%) who desired to conceive got pregnant. From previous smaller case series, the conception rate was between 14.3% (1/7) and 100% (8/8) [1][2][3][5][6][7][8][9][10][11]27]. The mean interval between the previous scar pregnancy and subsequent pregnancies was 24.6 months (range 9-48 months).…”

Early first‐trimester transvaginal ultrasound is indicated in pregnancy after previous Cesarean delivery: should it be mandatory?

“…These complications involve a range of pathologies, of which pathologically adherent placenta, lately termed placenta accreta spectrum (PAS) by a consensus panel of the International Federation of Gynecology and Obstetrics (FIGO), is the most relevant clinically. It is also well documented that Cesarean delivery is associated with a significant impact on future pregnancy, including an increased risk of both short‐ and long‐term complications, such as profuse overt and intra‐abdominal hemorrhage, PAS, uterine rupture and gravid hysterectomy.…”

Identifying risk factors for cesarean scar pregnancy: a retrospective study of 79 cases

“…With the rise of the cesarean section rate [6] and the widespread use of transvaginal sonography, the incidence of cesarean scar pregnancy (CSP) is increasing rapidly [7,8]. As reported, the incidence of CSP was 1:1800-1:2226 [9], which was recurrent in some cases [10], representing 6.1% of all ectopic pregnancy [11]. The disease is usually life-threatening with a high risk for uterine rupture [12] and fatal hemorrhage [9,13].…”