Cesarean Scar Pregnancy: Patient Counseling and Management

Obstet Gynecol Clin North Am. 2019 Dec;46(4):813-828. doi: 10.1016/j.ogc.2019.07.010.

Abstract

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.

Keywords: Cesarean delivery; Cesarean scar pregnancy; Placenta accreta spectrum; Treatment; Ultrasound.

Publication types

  • Review

MeSH terms

  • Cesarean Section / adverse effects*
  • Cicatrix / diagnostic imaging*
  • Cicatrix / etiology
  • Counseling*
  • Female
  • Humans
  • Placenta Accreta / diagnostic imaging*
  • Placenta Accreta / etiology
  • Pregnancy
  • Pregnancy, Ectopic / diagnosis
  • Pregnancy, Ectopic / diagnostic imaging*
  • Pregnancy, Ectopic / etiology
  • Pregnancy, Ectopic / therapy
  • Risk Factors
  • Ultrasonography, Prenatal*