Cesarean Scar Pregnancy : Patient Counseling and Management - 30/10/19

Doi : 10.1016/j.ogc.2019.07.010

Ilan E. Timor-Tritsch, MD ^a,^⁎ , Ana Monteagudo, MD ^b, Giuseppe Calì, MD ^c,^{^{1
Present address: Viale Acacie 26 Casteldaccia, Palermo 90014, Italia.}}, Francesco D’Antonio, MD ^d, Andrea Kaelin Agten, MD ^e
^a Department of Obstetrics and Gynecology, NYU School of Medicine, NYU Langone Health, 550 1st Avenue, New York, NY 10016, USA
^b Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA
^c Department of Obstetrics and Gynaecology, Arnas Civico Hospital, Palermo, Italy
^d Fetal Medicine Unit, Department of Obstetrics and Gynecology, University of Foggia, Foggia, Italy
^e Nottingham University Hospitals NHS, Queens Medical Centre, Derby Road, Nottingham, NG7 2UH, UK

^∗Corresponding author.

Résumé

There is no universally agreed upon and adopted management protocol supported by professional societies in the United States or around the world for the treatment of cesarean scar pregnancy. There is a wide range of management options in the literature, and many of them can to lead to severe bleeding complications, which can result in loss of fertility or even maternal death. If inadequately managed, it can lead to untoward complications throughout all 3 trimesters of the pregnancy. Early detection of CSP has a paramount clinical importance.

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Keywords : Cesarean scar pregnancy, Ultrasound, Cesarean delivery, Treatment, Placenta accreta spectrum