Abstract

Case Series

Understanding and Managing Caesarean Scar Ectopic Pregnancy: A Retrospective Analysis of Risk Factors, Strategies, and Outcomes

Abdullah Aldawsari* and Heba Al-hussaini*

Published: 31 October, 2024 | Volume 7 - Issue 4 | Pages: 115-116

Objective: Caesarean Scar Ectopic Pregnancies (CSEP) pose distinct diagnostic and management challenges. This study investigates the risk factors, treatment options, and outcomes for CSEP cases treated at Prince Sultan Medical Military City, Riyadh.
Methods: Over a two-year period, medical records of 28 patients with CSEP were reviewed, collecting data on patient demographics, obstetric history, and treatment outcomes. This analysis aimed to identify influential risk factors and assess the effectiveness of various management strategies.
Results: Treatment success was achieved in 85.7% of cases, with Methotrexate (MTX) proving effective in over half of the cases. The findings suggest significant risk factors and best practices for managing this rare condition.
Conclusion: Early detection, risk factor awareness, and tailored treatment strategies are key to optimizing outcomes in patients with CSEP.

Read Full Article HTML DOI: 10.29328/journal.cjog.1001176 Cite this Article Read Full Article PDF

References

  1. Huang J, et al. Caesarean scar ectopic pregnancy: a comprehensive review. J Obstet Gynaecol. 2020;40(1):1-8. doi:10.1080/01443615.2019.1634587.
  2. Khan N, et al. Management of caesarean scar ectopic pregnancy: a review of current practices. Gynecol Surg. 2021;18(2):45-52. doi:10.1007/s10397-021-01395-7.
  3. Güney M, et al. Methotrexate as a primary treatment for cesarean scar ectopic pregnancy: outcomes and predictors of success. J Reprod Med. 2022;67(3):142-150. doi:10.1016/j.jrm.2022.02.015.
  4. Singh R, et al. Efficacy of methotrexate therapy in scar and cervical ectopic pregnancies: a retrospective cohort analysis. Reprod Health. 2022;19(1):156-162. doi:10.1186/s12978-022-01378-6.
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  6. Li X, et al. Single-dose versus multi-dose methotrexate regimens in the treatment of cesarean scar pregnancy: a meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2023;283:234-240. doi:10.1016/j.ejogrb.2023.01.005.
  7. Jones A, et al. Long-term outcomes of ectopic pregnancies: a systematic review. Obstet Gynecol Clin. 2023;50(1):45-60. doi:10.1016/j.ogc.2022.10.001.
  8. Wang Y, et al. Role of methotrexate combined with surgical intervention in treating caesarean scar pregnancy: a prospective study. J Matern Fetal Neonatal Med. 2023;36(4):789-795. doi:10.1080/14767058.2022.2095941.

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