Cesarean scar pregnancy: a ten-year single center experience
Not Applicable
- Conditions
- Cesarean scar pregnancy
- Registration Number
- PACTR202311670817279
- Lead Sponsor
- hedi cheker hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- Female
- Target Recruitment
- 1735
Inclusion Criteria
We included in our study all cases of CSP. The diagnosis of CSP was based on:
?A history of previous cesarean deliveries (CD).
?Positive -HCG levels in the serum
?Ultrasound criteria including: an empty uterine cavity and cervix, an absent or thin myometrium separating the gestational sac and/or placenta from the posterior wall of the bladder, a gestational sac and/or placenta located at the level of the previous uterine scar, and rich trophoblastic blood flow on the Doppler examination.
Exclusion Criteria
We did not include patients not previously diagnosed with CSP who presented at the emergency room with a complication such as a uterine rupture or uncontrolled hemorrhage.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The mean age was 33.5 years old. Most of patients (80%) reported history of 2 or more previous cesarean sections. The mean gestational age at diagnosis was 8 weeks. Patients presented mostly with isolated amenorrhea. The mean ßHCG serum level at admission was 52352.4 milliunits/mL. The diagnosis was made on ultrasonographic examination in all cases. The Management of CSP in group 1 was associated with a significantly shorter resolution time of serum ßHCG levels (p=0.006). A shorter hospital stay duration was also reported in group 1 but with no statistical significance (p=0.31). Complications were more observed in group 2 but with no statistical significance (p=0.61).
- Secondary Outcome Measures
Name Time Method