Clinical and historical features of cesarean scar pregnancies in a tertiary hospital with a high rate of cesarean section: A case–control survey

• Published in: Health science reports 2024-02, Vol.7 (2), p.e1823-n/a
• Main Authors: Sharami, Seyedeh Hajar, Arzpeyma, Sima Fallah, Montazeri, Sina, Ghadim‐limudahi, Zahra Haghparast, Eslami‐Kenarsari, Habib, Attari, Seyedeh Maryam, Kamakoli, Harir Tanhaye
• Format: Article
• Language: English
• Subjects: Abortion; cesarean scar pregnancies; Cesarean section; ectopic pregnancy; Embolization; Gestational age; Heart rate; Original Research; Patients; Pregnancy; Pregnancy complications; risk factors; Ultrasonic imaging; Womens health
• ISSN: 2398-8835; 2398-8835
• DOI: 10.1002/hsr2.1823

Background and Aims Cesarean scar pregnancy (CSP) is a rare medical condition accounting for 1:2000 of all pregnancies with prior history of cesarean deliveries (CS). As the rate of CS is increasing worldwide, it is important to know the nature of CSP and its complications. Methods In this retrospective case–control study, we evaluated 264 pregnant women; 86 cases with ultra‐sonographic findings of CSP and 178 controls: normal pregnancies with gestational age less than 12 weeks. The variables consisted of demographic characteristics, the features and causes of the prior CS, the time distance to the current pregnancy, sonographic features, and the final management. All data analyzed using SPSS version 21. Results There was a significant difference between the two study groups regarding to parity, abortions and D&Cs (p  0.990). The mean average of intervals between the last CS and current pregnancies were 48.22 ± 37.03 in the case group versus 61.25 ± 36.25 months in the control group (p