Document Detail


A retrospective review of uterine scar pregnancies: single centre experience.
MedLine Citation:
PMID:  20224932     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
PURPOSE: Our aim was to present our experience with the management of six women with uterine scar pregnancies in KK Women's and Children's Hospital, Singapore.
METHODS: The medical records of women with a pregnancy in previous uterine scar that had been diagnosed in our department during 2004-2008 were reviewed.
RESULTS: Out of six women, one woman presented in mid-trimester, at 16 weeks with severe abdominal pain and persistent vomiting. She underwent a hysterectomy complicated with massive haemorrhage. The other five women presented in first trimester. Two women had excision of the scar with the sac, two had ultrasound-guided injection of methotrexate in the sac and one had systemic methotrexate. In all cases, maternal recovery was complete. Uterine scar pregnancy was diagnosed by ultrasonography.
CONCLUSION: Women at a risk appear to be those with multiple Caesarean sections, termination of pregnancy and myomectomy. Operative as well as medical treatments have been reported for scar pregnancy. Surgical treatment includes excision of trophoblastic tissues by laparotomy or laparoscopy whilst medical treatment includes local and/or systemically administered methotrexate. Although many interventions have been described, optimal treatment is still not known and they remain a challenge.
Authors:
Shephali Tagore; S H Wendy Teo; S Y Irene Chua; Chiou Li Ong; Y C Kenneth Kwek
Publication Detail:
Type:  Journal Article     Date:  2010-03-12
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  282     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  711-5     Citation Subset:  IM    
Affiliation:
Maternal Fetal Medicine, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore. shephul@yahoo.com
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