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Published on: January 17, 2019
Cesarean scar ectopic pregnancies: a retrospective case series at an Australian tertiary referral center
Justine Toh1, Andrea Deussen1, Nooraishah Yasin1,2
1Women's and Children's Hospital, Adelaide, South Australia, Australia.
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.
