Caesarean Scar Pregnancy Health Impact Factor | Peer Reviewed Journals
Emergency Medicine: Open Access

Emergency Medicine: Open Access
Open Access

ISSN: 2165-7548

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Caesarean Scar Pregnancy Health Impact Factor

Cesarean scar pregnancy (CSP) is a rare occurrence consisting in the implantation of the gestational sac in the hysterotomy scar . A recent review of the literature identified 751 cases of CSP. The incidence of CSP has been estimated to range from 1/1008 to 1/2500 of all cesarean deliveries (CD)  and in 72% of cases occurs in women who have had more than 2 CDs.The exact pathogenic mechanisms are still unclear but CSP is believed to occur when a blastocyst implants on fibrous scar tissue within a wedge-shaped myometrial defect in the anterior lower uterine segment, by the site of a prior cesarean scar.Due to the increase of CDs the incidence of CSP is rising. This condition can be dangerous for the women because of the related complications such as placenta previa or accreta, uterine rupture, and hemorrhage, leading to increased maternal morbidity and mortality. Therefore, an early diagnosis is crucial to improve the proper management. Several authors have reported sonographic criteria to aid in a diagnosis of CSP. Despite the progress made in ultrasonography and radiological imaging methods, the optimal management remains to be determined.Considering the lack of unique guidelines and management protocols, the aim of our study was to analyze the different methods of treatment for CSP offered by our team and identify the criteria on which to base the choice of the best approach for the women.