Cesarean scar ectopic pregnancies - a retrospective case series at an Australian tertiary referral center

Justine Toh, Andrea Deussen, Nooraishah Yasin, Monika Skubisz, Jodie Dodd

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To review the management, success, and complication rates of women who presented with a cesarean scar ectopic pregnancy at an Australian tertiary referral center. Methods: A retrospective case series was undertaken. Patients were identified through the hospital's clinical information services coding system and data were collected from medical records. Results: A total of 38 cases were identified. Patients who were hemodynamically stable were predominantly managed according to local expertise via intramuscular, intra-sac methotrexate or a combination of these two. In some cases, surgical management was preferred. Conclusion: Cesarean scar ectopic pregnancy may be managed both surgically and medically. At institutions where surgical expertise is unavailable, medical management would be valuable with few adverse outcomes identified, provided women have closely monitored follow-up.

Original languageEnglish
JournalInternational Journal of Gynecology and Obstetrics
DOIs
Publication statusAccepted/In press - 2022
Externally publishedYes

Keywords

  • Cesarean scar ectopic
  • Cesarean section
  • medical
  • methotrexate
  • non-surgical
  • pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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