Journal
FERTILITY AND STERILITY
Volume 120, Issue 3, Pages 563-572Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.fertnstert.2023.07.018
Keywords
Cesarean scar ectopic pregnancy; placenta accreta spectrum; cesarean section; termination of pregnancy
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The incidence of cesarean scar ectopic pregnancy has increased along with the rise in cesarean delivery rates. CSEP can lead to serious complications, emphasizing the importance of accurate diagnosis and appropriate management.
A cesarean scar ectopic pregnancy (CSEP) occurs when the embryo implants on the scar of a previous cesarean delivery. The number of births delivered by cesarean section has climbed by 50% over the last decade, from a nadir of 20.7% in 1996 to 32.1% in 2021. As a result, the incidence of CSEP has also increased. Because CSEP may cause serious morbidity such as life-threatening hemorrhage, uterine rupture, placental accreta spectrum, hysterectomy, and even mortality, accurate diagnosis and appropriate management of this condition are essential. This review focuses on the etiology, incidence, clinical diagnosis, and management of CSEPs (c) 2023 by American Society for Reproductive Medicine.
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