Impact of location on placentation in live tubal and cesarean scar ectopic pregnancies

Abstract Introduction The objective of this study was to evaluate the impact of implantation outside the normal intra-uterine endometrium on development of the gestational sac. Methods We reviewed and compared the ultrasound measurements and vascularity score around the gestational sac in 69 women diagnosed with a live tubal ectopic pregnancy (TEP) and 54 with a cesarean scar ectopic pregnancy (CSP) at 6-11 weeks of gestation who were certain of their last menstrual period. Results The rate of a fetus with a cardiac activity in the study population was significantly (P Discussion Both TEP and CSP are associated with a higher rate of miscarriage than intrauterine pregnancies and the slow development of the gestation sac is more pronounced in TEPs probably as a consequence of a limited access to decidual gland secretions.