Subsequent pregnancy outcomes and recurrence in women with previous Cesarean scar pregnancy: a 3‐year follow‐up study in a tertiary hospital

Subsequent Fertility in Women Treated for Caesarean Scar Pregnancy With Hysteroscopy: A 5-Year Follow-Up Descriptive Study in a Tertiary Hospital

“…A recent study reported that high intensity focused ultrasound (HIFU) followed by ultrasound guided dilation and curettage (D&C) treatment in previous caesarean scar pregnancy seems to have a lower risk in recurrent caesarean scar pregnancy and other complications in subsequent pregnancies (10). However, this finding was not seen in other studies (7,9,11). In our current study, we also found no difference in the treatment option of caesarean scar pregnancy between women with and without a subsequent pregnancy, suggesting previous treatment options of caesarean scar pregnancy may not have any effect on subsequent fertility of women.…”

“…To date there were very few studies investigating the association of caesarean scar pregnancy with subsequent fertility in the literature. This could be because that the majority of women with a history of caesarean scar pregnancy are afraid of developing recurrent caesarean scar pregnancy, resulting in women not attempting to become pregnant again, even the rate of recurrent caesarean scar pregnancy is relatively low (8)(9)(10)(11). A six year follow-up study led by Nagi reported that three (12.5%) women did not become pregnant, in a total of 24 women treated for caesarean scar pregnancy who attempted to conceive (8).…”

“…One hundred forty-nine (64%) women from a total of 232 women who were diagnosed with caesarean scar pregnancy in Maternity and Child Health Hospital, Nanjing Medical University, China between January 2016 and December 2018, were followed up until December 2020. Of 149 women, 111 were included in our previous study ( 11 ). Data on maternal age, parity, gravida, gestational sac age at diagnosis, the size of sac, the option(s) of treatment, the amount of bleeding during the initial treatment and the serum levels of β-hCG at diagnosis and after initial treatment were collected from the hospital electronic database.…”

“…Currently, data on subsequent outcomes in women with a history of caesarean scar pregnancy have not been well described. Although a relatively good outcome with a live birth in subsequent pregnancies and a lower recurrence rate of caesarean scar pregnancy has been reported ( 8 – 11 ), our recent study suggested that there may be a potential risk for developing complicated pregnancies, such as gestational diabetes mellitus (GDM) ( 11 ). Because of the potential risk of developing recurrent caesarean scar pregnancies, most women with a history of caesarean scar pregnancy did not attempt to have a subsequent pregnancy.…”

A Comparison of Ultrasound Guided Curettage With and Without Uterine Artery Embolization on Controlling Intraoperative Blood Loss for a Cesarean Scar Pregnancy Treatment: Study Protocol for a Randomized Clinical Trial

“…We recently established a risk-scoring system (QRS) to estimate intraoperative blood loss ( 13 ), and we will then retrospectively validate the role of QRS in estimating intraoperative blood loss in this randomized clinical trial with a relatively large sample size. Recently a number of studies reported potential complications in a subsequent pregnancy in women who received surgical treatment ( 14 ). Whether the complications in a subsequent pregnancy are related to the options of the previous treatment is unknown.…”