RESULTS OF TREATMENT FOR CESAREAN SCAR PREGNANCY AT HANOI HOSPITAL OF OBSTETRICS AND GYNECOLOGY IN 2019-2020
Main Article Content
Abstract
Background: Cesarean scar pregnancy (CSP) is growing more frequent in the past 10 years. Currently, no final consensus on CSP management has been made. Objectives: To analyse several factors relating to the results of CSP treatment at Hanoi Obstetrics and Gynecology Hospital within the span of 2 years from 2019 to 2020. Materials and methods: a cross-sectional, prospective study on patients with caesarean scar pregnancy under 10 weeks. Results: 174 patients were eligible to participate in the study. 83.9% of subjects with gestational age less than 8 weeks were successfully treated by vacuum aspiration. 8 cases of over 9-week gestation all had angiogenesis and all underwent preservative hysterotomy. Conclusions: Gestational age is an important factor determining the management of CSP. With gestational age less than 8 weeks, vacuum aspiration is a successful treatment.
Article Details
Keywords
cesarean scar pregnancy, fetal age, vacuum aspiration
References
2. Phác đồ điều trị sản phụ khoa bệnh viện Từ Dũ (2019). Thai sẹo mổ lấy thai trang 216-228.
3. Gonzalez N.,Tulandi T., 2017. Review Article Cesarean Scar Pregnancy: A Systematic Review. Journal of Minimally Invasive Gynecology, Vol 24, No 5.
4. Ibrahim Polat 1, Ali Ekiz, 2016. Suction Curettage as First Line Treatment in Cases With Cesarean Scar Pregnancy: Feasibility and Effectiveness in Early Pregnancy. J Matern Fetal Neonatal Med. 2016;29(7):1066-71.
5. Michener C, Dickinson JE, 2009. Caesarean scar ectopic pregnancy: a single centre case series. Aust N Z J Obstet Gynaecol 2009;49:451–5.
6. Petersen K.B., Hoffmann E., Larsen C.R., 2016. Cesarean scar pregnancy: a systematic review of treatment studies. Fertility and Sterility® Vol. 105, No. 4.http://dx.doi.org/10.1016/j.fertnstert.2015.12.130).
7. Royal College of Obstetrics and Gynecology (RCOG), 2016. Diagnosis and Management of Ectopic Pregnancy (Green-top Guideline No. 21- 2016).
8. Salomon L.J., Fernandez H., Chauveaud A., 2003. Successful management of a heterotopic Caesarean scar pregnancy: potassium chlorid injection with preservation of the intrauterine gestation: case report. Hum Reprod, 18(1), 189-191.
9. Sarah Maheux-Lacroix , Fiona Li , Emmanuel Bujold , 2017. Cesarean Scar Pregnancies: A Systematic Review of Treatment Options. J Minim Invasive Gynecol. Sep-Oct 2017;24(6):915-925.
10. Timor- Tritsch, 2012. The diagnosis, treatment, and follow up of cesarean scar pregnancy. Am J Obstet Gynecol, 207(1): p. 44 e1-13.
11. Timor-Tritsch IE, Khatib N, Monteagudo A, 2015. Cesarean scar pregnancies: experience of 60 cases. J Ultrasound Med 2015;34: 601–10.
12. Wang et al, 2006. Cesarean scar pregnancy treated by endoscopy. Fertility Sterility Vol. 85, No. 2.