Selection of a correct treatment protocol in caesarean scar pregnancies
- 24 September 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in Archiv für Gynäkologie
- Vol. 302 (6), 1375-1380
- https://doi.org/10.1007/s00404-020-05800-2
Abstract
Objective This study aims at assessing the effectiveness of various treatment protocols with the help of some parameters in caesarean scar pregnancies. Methods A total of 26 patients were assessed in the study. The patients were divided into 4 groups. Group 1 consisted of those who had a wedge resection (n = 7), group 2 those who had a suction curettage (n = 10), group 3 those who had a systemic methotrexate (MTX) (n = 5) and group 4 those who had a systemic + local MTX (n = 4). The ßHcg half-lives, haemoglobin levels at the time of admittance and discharge, and hospital stays of the groups were compared. Results The difference between group 1 and group 4 was found significant (p = 0.002) with respect to days of hospital stay. There was no statistically significant difference between the groups with respect to ßHcg half-lives and haemoglobin values. Conclusion The results of our study showed that there were no significant differences between treatment outcomes when appropriate protocols were employed. Therefore, the important point in CSPs is to assess correctly the type of CSP, the myometrial thickness and the patient’s hemodynamic condition and select the most appropriate protocol accordingly rather than trying to establish a single standard treatment protocol.Keywords
This publication has 21 references indexed in Scilit:
- Factors associated with successful transabdominal sonography‐guided dilation and curettage for early cesarean scar pregnancyInternational Journal of Gynecology & Obstetrics, 2015
- Cesarean scar ectopic pregnancy: imaging features, current treatment options, and clinical outcomesAbdominal Radiology, 2015
- Cesarean section scar ectopic pregnancy: a clinical case seriesJournal of Ultrasound, 2015
- Transvaginal hysterotomy for cesarean scar pregnancy in 40 consecutive casesGynecological Surgery, 2014
- Analysis of cases with cesarean scar pregnancyJournal of Obstetrics and Gynaecology Research, 2012
- Variation in rates of caesarean section among English NHS trusts after accounting for maternal and clinical risk: cross sectional studyBMJ, 2010
- Effect of cesarean delivery on the endometriumInternational Journal of Gynecology & Obstetrics, 2009
- Cesarean scar pregnancy: issues in managementUltrasound in Obstetrics & Gynecology, 2004
- First‐trimester diagnosis and management of pregnancies implanted into the lower uterine segment Cesarean section scarUltrasound in Obstetrics & Gynecology, 2003
- Ectopic Pregnancy Within a Cesarean Scar: A ReviewObstetrical & Gynecological Survey, 2002