Caesarean scar ectopic pregnancy: diagnostic challenges and management options
| Autor: | Gbemisola O Okunoye, Justin C. Konje, Pradeep M Jayaram |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Pregnancy 030219 obstetrics & reproductive medicine Hysterectomy Ethical issues Ectopic pregnancy medicine.diagnostic_test business.industry Obstetrics medicine.medical_treatment Ultrasound scan fungi Interventional radiology medicine.disease 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis parasitic diseases medicine Caesarean section Subsequent pregnancy Intensive care medicine business |
| Zdroj: | The Obstetrician & Gynaecologist. 19:13-20 |
| ISSN: | 1467-2561 |
| DOI: | 10.1111/tog.12355 |
| Popis: | Key content Incidence of caesarean scar pregnancy (CSP) is increasing because of a rising number of caesarean sections. Prompt diagnosis of the condition is required to reduce associated morbidity. A high index of suspicion is required for women with a suggestive history of CSP. Ultrasound scan is the diagnostic tool of choice. Management options include medical, surgical and interventional radiology. Appropriate patient selection is important for optimal results. Major haemorrhage and hysterectomy are the main risks associated with CSP. Therefore, adequate counselling and availability of surgical expertise and blood transfusion should be part of a comprehensive management strategy. Learning objectives Understand the clinical and ultrasound features of CSP and distinguish these from features of other low implantation pregnancies. Learn about available treatment options and the factors influencing treatment choices. Be aware of the ethical issues associated with the diagnosis of live CSP. Ethical issues Do women planning subsequent pregnancy after a resolved CSP require surgery to close the uterine defect in the scar to prevent recurrent scar ectopic pregnancy? Should the risk of CSP in a future pregnancy be routinely discussed prior to primary caesarean section? |
| Databáze: | OpenAIRE |
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