Document Detail


Caesarean scar pregnancy.
MedLine Citation:
PMID:  17313383     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Caesarean scar pregnancy is one of the rarest forms of ectopic pregnancy. Little is known about its incidence and natural history. With increasing incidence of caesarean section worldwide, more and more cases are diagnosed and reported. Transvaginal ultrasound and colour flow Doppler provides a high diagnostic accuracy with very few false positives. A delay in diagnosis and/or treatment can lead to uterine rupture, major haemorrhage, hysterectomy and serious maternal morbidity. Early diagnosis can offer treatment options of avoiding uterine rupture and haemorrhage, thus preserving the uterus and future fertility. Management plan should be individually tailored. Available data suggest that termination of pregnancy is the treatment of choice in the first trimester soon after the diagnosis. Expectant treatment has a poor prognosis because of risk of rupture. There are no reliable scientific data on the risk of recurrence of the condition in future pregnancy, role of the interval between the previous caesarean delivery and occurrence of caesarean scar pregnancy, and effect of caesarean wound closure technique on caesarean scar pregnancy. In this article, we aim to find the demography, pathophysiology, clinical presentation, most appropriate methods of diagnosis and management, with their implications in clinical practice for this condition.
Authors:
A Ash; A Smith; D Maxwell
Related Documents :
15310123 - The many ways to sew up a uterus. "single-layer" vs. "double-layer" cesarean repair: wh...
7431353 - Acupuncture analgesia and cesarean section.
18449923 - Evidence that parent-of-origin affects birth-weight reductions at high altitude.
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  114     ISSN:  1470-0328     ISO Abbreviation:  BJOG     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-02-22     Completed Date:  2007-04-12     Revised Date:  2007-10-19    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  England    
Other Details:
Languages:  eng     Pagination:  253-63     Citation Subset:  AIM; IM    
Affiliation:
Guy's and St Thomas' NHS Foundation Trust, London, UK. Alok.Ash@gstt.nhs.uk
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / methods
Cesarean Section*
Cicatrix*
Curettage / methods
Diagnosis, Differential
Female
Humans
Hysterectomy / methods
Laparoscopy / methods
Magnetic Resonance Imaging
Placenta Accreta / etiology
Pregnancy
Pregnancy, Ectopic* / diagnosis,  therapy
Prenatal Care / methods
Ultrasonography, Prenatal
Uterine Rupture / etiology
Comments/Corrections
Comment In:
BJOG. 2007 Oct;114(10):1304; author reply 1304   [PMID:  17877690 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Higher thrombin concentrations are required to induce platelet apoptosis than to induce platelet act...
Next Document:  Higher Bcl-2 levels decrease staphylococcal superantigen-induced apoptosis of CD4+ T cells in atopic...