Caesaren scar pregnancy- literature review

Komplikace jizvy po císřaském řezu

Abstract

Abstract

Aim of the study: to summarize the current knowledge on pregnancy in the cesarean scar

Type of study: review article.

Methodology: A literature review on the topic using the PubMed database.

Results: Gravidity in the cesarean scar is a relatively new type of ectopic pregnancy that will be an increasingly common problem in an era of increasing cesarean section rates. It is still a relatively rare event, occurring in about 6%. Diagnosis is based primarily on ultrasound examination and is essential early in pregnancy. The pathogenesis of the disease is due to a disorder of the basal layer of the endometrium and can lead to conditions that we refer to as placenta accreta spectrum. The management is completely individualized and depends on hCG values, ultrasound findings, fetal viability, the wishes of the pregnant woman and the experience of the gynecologist concerned.

Conclusion: This is still a rare occurrence of ectopic pregnancy but with increasing potential. The solution is completely individual and based on a precise and early ultrasound diagnosis.

Keywords: Cesarean scar pregnancy, ultrasound diagnosis, placenta accreta spectrum, vacumaspiration, methotrexat, uterine scar resuture