JOMPAC
Journal of Medicine and Palliative Care

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

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Original Article
Management and reproductive outcomes following cesarean scar pregnancy: experiences of two tertiary centers in a cohort of 60 women
Abstract
Aims: This study aims to analyze the treatment approaches and reproductive outcomes of women diagnosed with cesarean scar pregnancy (CSP).
Methods: A retrospective analysis was conducted on sixty patients diagnosed with CSP between January 2020 and December 2023 at two tertiary centers with a combined total of 49,733 births during the study period. Demographic, clinical, and laboratory characteristics, complications, treatment methods, and reproductive outcomes were examined. Patients were categorized into two groups based on their treatment approach: isolated treatment (n=45, 75%) and combined treatment (n=15, 25%), and the outcomes of the two groups were compared.
Results: The mean age of all patients was 34 years (±5.5) (range: 21-46). The mean gestational age at admission was 6.86 weeks (±1.82), with 35% showing positive fetal heartbeats. Complications occurred in 28.3% of cases, with hematomas being the most common (26.7%). The combined treatment group had higher rates of blood transfusions and complications, including hematomas and bladder injuries (p=0.005 and p<0.001, respectively). Of the 16 patients (26.7%) who desired future pregnancy, 14 successfully conceived. Among these pregnancies, 7 resulted in early pregnancy loss, while 7 resulted in live births, all of which were delivered after 35 weeks of gestation.
Conclusion: Early diagnosis and evidence-based treatment of CSP are essential for preventing life-threatening obstetric complications. Larger, prospective studies are required to establish optimal diagnostic and treatment strategies.

Keywords : Cesarean scar pregnancy, treatment, treatment approaches, reproductive outcome

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Article available in :
Volume 5, Issue 5, 2024
Page : 256-264
https://doi.org/10.47582/jompac.1550289
Article Information
Received : 15 Eyl 2024
Accepted : 01 Eki 2024
Published : 26 Eki 2024
Corresponding Author :

Zeynep Şeyhanlı: Department of Perinatology, Ankara Etlik City Hospital, Ankara, Turkiye

[email protected]
Citation : Şeyhanlı Z, Bayraktar B, Karabay G, et al. Management and reproductive outcomes following cesarean scar pregnancy: experiences of two tertiary centers in a cohort of 60 women. J Med Palliat Care. 2024;5(5):256-264.

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