Caesarean scar pregnancy in the uk: a national cohort study.

Harb, H M and Knight, M and Bottomley, C and Overton, C and Tobias, A and Gallos, I D and Shehmar, Manjeet and Farquharson, R and Horne, A and Latthe, P and Edi-Osagie, E and MacLean, M and Marston, E and Zamora, J and Dawood, F and Small, Rachel and Ross, J and Bourne, T and Coomarasamy, A and Jurkovic, D (2018) Caesarean scar pregnancy in the uk: a national cohort study. BJOG : an international journal of obstetrics and gynaecology. ISSN 1471-0528. This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs

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Official URL: https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1...

Abstract

OBJECTIVE

To estimate the incidence of caesarean scar pregnancy (CSP) and to describe the management outcomes associated with this condition DESIGN: A national cohort study using the UK Early Pregnancy Surveillance Service (UKEPSS).

SETTING

86 participating Early Pregnancy Units.

POPULATION

All women diagnosed in the participating units with CSP between November 2013 and January 2015.

METHODS

COHORT STUDY OF WOMEN IDENTIFIED THROUGH THE UKEPSS MONTHLY MAILING SYSTEM: MAIN OUTCOME MEASURES: Incidence, clinical outcomes and complications.

RESULTS

102 cases of CSP were reported, with an estimated incidence of 1.5 per 10,000 (95% CI 1.1 - 1.9) maternities. Full outcome data were available for 92 women. Management was expectant in 21/92 (23%), medical in 15/92 (16%), and surgical in 56/92 (61%). The success rates of expectant, medical, and surgical management were 43% (9/21), 46% (7/15) and 96% (54/56) respectively. The complication rates were 15/21 (71%) with expectant, 9/15 (60%) with medical and 20/56 (36%) with surgical management. Discharge from care (median number of days) was 82 (range 37-174) with expectant, 21 (range 10-31) with medical, and 11 (range 4-49) with surgical management.

CONCLUSIONS

Surgical management appears to be associated with a high success rate, low complication rate and short post-treatment follow up. This article is protected by copyright. All rights reserved.

Item Type: Article
Additional Information: This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs
Subjects: WP Gynaecology. Women’s health
WQ Obstetrics. Midwifery
Divisions: Womens and Childrens > Gynaecology
Womens and Childrens > Obstetrics
Related URLs:
Depositing User: Mr Philip O'Reilly
Date Deposited: 04 May 2018 14:04
Last Modified: 04 May 2018 14:04
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1639

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