Caesarean Scar Ectopic Pregnancy: 11 Case-Series Study in 2 Years at a Tertiary Care Hospital

Caesarean Scar Ectopic Pregnancy

Abstract

Objective: The objective of this study was to evaluate the management, clinical features and outcome of caesarean scar pregnancies. Study Design: Descriptive case series. Settings: Department of Obstetrics & Gynecology, Faisalabad Medical University, Faisalabad Pakistan. Duration: Two years from 1^st June 2019 to 31^st May 2021. Methods: Medical records of the women with diagnosis of CSP were retrieved. The study included cases with gestational ages ranging from 5 weeks to 9 weeks who were referred to us. All the information regarding demographics, age, gestational age, symptoms at presentation, number of Caesarean sections, obstetric and gynecological history, ultrasound images, treatment given to the patients and hospital stay were retrieved from charts of the patients. Results: In this study, 11 cases of CSP were treated. One patient had pain in lower abdomen, two of 11 patients had no symptoms, 3 had lower abdominal pain with vaginal bleeding and 5 had vaginal bleeding only. All patients had history of caesarean sections. Gestational age of these patients was from 5 to 9 weeks. Five patients were treated with Methotrexate (MTX), 3 underwent emergency laparotomy and 3 were managed conservatively. Conclusion: Early diagnosis and management of patients having caesarean scar ectopic pregnancies can reduce the complications associated with this condition.