Cesarean scar ectopic pregnancies: a retrospective case series at an Australian tertiary referral center

Autor:	Justine Toh, Andrea Deussen, Nooraishah Yasin, Monika Skubisz, Jodie Dodd
Rok vydání:	2022
Předmět:	Tertiary Care Centers Cicatrix Abortifacient Agents Nonsteroidal Methotrexate Pregnancy Cesarean Section Australia Humans Obstetrics and Gynecology Female General Medicine Retrospective Studies Pregnancy Ectopic
Zdroj:	International Journal of Gynecology & Obstetrics. 159:771-775
ISSN:	1879-3479 0020-7292
DOI:	10.1002/ijgo.14183
Popis:	To review the management, success, and complication rates of women who presented with a cesarean scar ectopic pregnancy at an Australian tertiary referral center.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.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.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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c1c495d042a37351ef9f67d51cb976e4 https://doi.org/10.1002/ijgo.14183 Zobrazit plný text záznamu Plný text