CESAREAN SCAR ECTOPIC PREGNANCY IN RELATION TO PREVIOUS OBSTETRICAL HISTORY
Volume 13 , Issue 1 , March 2023 , Pages 83-88
Authors
Gash Khalid Arif 1 ; Chro Najmaddin Fattah 2
1 Matirnity Teaching Hospital,Directorate of Health of Sulaimani, Kurdistan Region, Iraq.
2 College of Medicine,Univerist of Sulaimani, Kurdistan Region, Iraq.
10.17656/jsmc.10400
Keywords
Abstract
Background
Cesarean scar ectopic pregnancy (CSEP) is the implantation of a gestational sac inside the scar of a previous
cesarean section (C/S). CSEP is a life-threatening condition that needs early management.
Objectives
The study aimed to know the associations between CSEP and previous obstetrical history.
Patients and Methods
Twenty-seven women with CSEP who were admitted to the Sulaimani Maternity Teaching Hospital from
September 2019 to October 2021 were collected for this cross-sectional study. Complete obstetrical history,
clinical features, the interval between the last C/S and CSEP, mode of diagnosis, and types of management
were recorded.
Results
The mean of maternal age, gravidity and parity were 32.14±4.63 years (range, 24 to 40 years), 3.73±1.75 (range,
1 to 8) and 2.36±1.33 (range, 1 to 6), respectively. The majority (74.1%) had no significant medical diseases. The
mean interval between the last C/S and CSEP was 2.6±1.8 years, and 92.6% complained of vaginal bleeding.
The association of gravidity with CSEP presentation was statistically significant. Only 22.2% had a history
of one prior C/S alone; however, 74.1, 14.8%, and 3.7% of patients had two, three, and four previous C/Ss,
respectively. Besides, the associations of first and second C/Ss with obstetricians’ experience who performed
the C/Ss were statistically significant.
Conclusion
The risk of CSEP increases when the frequency of gravidity and previous C/S increases.
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- Published at21 March 2023
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