"Cesarean Scar Pregnancy Explained | Risks, Diagnosis & Management | Womb Whisper" скачать в хорошем качестве

"Cesarean Scar Pregnancy Explained | Risks, Diagnosis & Management | Womb Whisper"

Cesarean Scar Pregnancy (CSP) is a rare form of ectopic pregnancy where the embryo implants within the scar of a previous cesarean section. It's a serious condition that can lead to complications like uterine rupture or severe hemorrhage if not diagnosed and managed early. Key Features: Incidence: Increasing due to rising cesarean rates. Implantation site: Myometrial defect at the cesarean scar. Timing: Usually diagnosed in the first trimester. Diagnosis: Transvaginal ultrasound (TVUS) is the gold standard. MRI may help in complex cases. Key ultrasound signs: Empty uterine cavity and cervical canal. Gestational sac embedded in the anterior uterine wall at the level of the isthmus. Thin or absent myometrium between the bladder and the sac. High vascularity around the sac on Doppler imaging. Classification: 1. Type I (Endogenic): Grows toward the uterine cavity. 2. Type II (Exogenic): Grows toward the bladder/abdominal cavity, more dangerous. Management: Depends on gestational age, type of CSP, symptoms, and future fertility desires. Options include: Medical management: Methotrexate (systemic or local). Surgical removal: Via hysteroscopy, laparoscopy, or laparotomy. Uterine artery embolization (UAE) to control bleeding. D&C alone is not recommended due to risk of uterine rupture. Prognosis: Early diagnosis improves outcomes. Future pregnancy should be monitored closely, with consideration of uterine repair and possibly cesarean delivery before labor onset.