The diagnosis, treatment and prevention of cesarean scar pregnancy

Objective To remind the attention to contraceptive in cesarean section group by analyzing the treatment of 104 cases cesarean scar pregnancy (CSP). Methods From April 2009 to November 2012, 104 patients with CSP treated in Department of Obstetrics and Gynecology, Wuhan Union Hospital were studied retrospectively. The incidence, treatment, and average in hospital days and average cost of hospitalization were analyzed. Results From 2009 to 2012, the number of CSP was 10, 19, 29, and 46 cases annually which accounted for the proportion of the corresponding period of gynecological patients were 0.33%, 0.63%, 0.97%, and 1.53%. Bilateral uterine artery embolization plus curettage was the most effective treatment. The average transfusion rate was 25%. The average amount of in-hospital days were (14±8)days, the average cost of hospitalization were (12954.97±3888.89) yuan. Conclusions The CSP incidence was increasing sharply in China. Although the current treatment methods could greatly reduce complications of CSP, it did harm to the patients and their family. The key to reduce the occurrence of CSP included reducing the rate of cesarean section, and strengthening contraceptive education after cesarean section. Key words: Pregnancy, ectopic/TH; Uterus/PA; Cicatrix