Management and reproductive outcomes following cesarean scar pregnancy: experiences of two tertiary centers in a cohort of 60 women

Zeynep Şeyhanlı; Burak Bayraktar; Gülşan Karabay; Mevlüt Bucak; Nazan Vanlı Tonyalı; Gizem Aktemur; Betül Tokgöz; Büşra Demir Çendek; Şevki Çelen; Ali Çağlar; Yaprak Üstün

Makale detayları

Management and reproductive outcomes following cesarean scar pregnancy: experiences of two tertiary centers in a cohort of 60 women

Yazarlar:

Zeynep Şeyhanlı | Burak Bayraktar | Gülşan Karabay | Mevlüt Bucak | Nazan Vanlı Tonyalı | Gizem Aktemur | Betül Tokgöz | Büşra Demir Çendek | Şevki Çelen | Ali Çağlar | Yaprak Üstün

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Kadın Hastalıkları ve Doğum

Dergi:

Journal of Medicine and Palliative Care Vol.5 Issue 5, pp.256-264

Belge Tipi:

Makale

Yayın Tarihi:

10/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001330458

pISSN:

2717-7505

Anahtar kelimeler:

Özet:

 Aims: This study aims to analyze the treatment approaches and reproductive outcomes of women diagnosed with cesarean scar pregnancy CSP. Methods: A retrospective analysis was conducted on sixty patients diagnosed with CSP between January 2020 and December 2023 at two tertiary centers with a combined total of 49,733 births during the study period. Demographic, clinical, and laboratory characteristics, complications, treatment methods, and reproductive outcomes were examined. Patients were categorized into two groups based on their treatment approach: isolated treatment n45, 75 and combined treatment n15, 25, and the outcomes of the two groups were compared. Results: The mean age of all patients was 34 years 5.5 range: 21-46. The mean gestational age at admission was 6.86 weeks 1.82, with 35 showing positive fetal heartbeats. Complications occurred in 28.3 of cases, with hematomas being the most common 26.7. The combined treatment group had higher rates of blood transfusions and complications, including hematomas and bladder injuries p0.005 and p0.001, respectively. Of the 16 patients 26.7 who desired future pregnancy, 14 successfully conceived. Among these pregnancies, 7 resulted in early pregnancy loss, while 7 resulted in live births, all of which were delivered after 35 weeks of gestation. Conclusion: Early diagnosis and evidence-based treatment of CSP are essential for preventing life-threatening obstetric complications. Larger, prospective studies are required to establish optimal diagnostic and treatment strategies.

 Aims: This study aims to analyze the treatment approaches and reproductive outcomes of women diagnosed with cesarean scar pregnancy CSP. Methods: A retrospective analysis was conducted on sixty patients diagnosed with CSP between January 2020 and December 2023 at two tertiary centers with a combined total of 49,733 births during the study period. Demographic, clinical, and laboratory characteristics, complications, treatment methods, and reproductive outcomes were examined. Patients were categorized into two groups based on their treatment approach: isolated treatment n45, 75 and combined treatment n15, 25, and the outcomes of the two groups were compared. Results: The mean age of all patients was 34 years 5.5 range: 21-46. The mean gestational age at admission was 6.86 weeks 1.82, with 35 showing positive fetal heartbeats. Complications occurred in 28.3 of cases, with hematomas being the most common 26.7. The combined treatment group had higher rates of blood transfusions and complications, including hematomas and bladder injuries p0.005 and p0.001, respectively. Of the 16 patients 26.7 who desired future pregnancy, 14 successfully conceived. Among these pregnancies, 7 resulted in early pregnancy loss, while 7 resulted in live births, all of which were delivered after 35 weeks of gestation. Conclusion: Early diagnosis and evidence-based treatment of CSP are essential for preventing life-threatening obstetric complications. Larger, prospective studies are required to establish optimal diagnostic and treatment strategies.

 Aims: This study aims to analyze the treatment approaches and reproductive outcomes of women diagnosed with cesarean scar pregnancy CSP. Methods: A retrospective analysis was conducted on sixty patients diagnosed with CSP between January 2020 and December 2023 at two tertiary centers with a combined total of 49,733 births during the study period. Demographic, clinical, and laboratory characteristics, complications, treatment methods, and reproductive outcomes were examined. Patients were categorized into two groups based on their treatment approach: isolated treatment n45, 75 and combined treatment n15, 25, and the outcomes of the two groups were compared. Results: The mean age of all patients was 34 years 5.5 range: 21-46. The mean gestational age at admission was 6.86 weeks 1.82, with 35 showing positive fetal heartbeats. Complications occurred in 28.3 of cases, with hematomas being the most common 26.7. The combined treatment group had higher rates of blood transfusions and complications, including hematomas and bladder injuries p0.005 and p0.001, respectively. Of the 16 patients 26.7 who desired future pregnancy, 14 successfully conceived. Among these pregnancies, 7 resulted in early pregnancy loss, while 7 resulted in live births, all of which were delivered after 35 weeks of gestation. Conclusion: Early diagnosis and evidence-based treatment of CSP are essential for preventing life-threatening obstetric complications. Larger, prospective studies are required to establish optimal diagnostic and treatment strategies.

 Amaçlar: Bu çalışmanın amacı sezaryen skar gebeliği CSP tanısı almış kadınların tedavi yaklaşımlarını ve reprodüktif sonuçlarını analiz etmektir. Yöntemler: Ocak 2020 ile Aralık 2023 tarihleri arasında, toplamda 49,733 doğumun gerçekleştiği iki üçüncü basamak merkezde CSP tanısı konmuş altmış hastanın retrospektif analizi yapıldı. Demografik, klinik ve laboratuvar özellikler, komplikasyonlar, tedavi yöntemleri ve reprodüktif sonuçlar incelendi. Hastalar, uygulanan tedavi yöntemine göre iki gruba ayrıldı: izole tedavi uygulananlar n45, 75 ve kombine tedavi uygulananlar n15, 25 ve bu grupların sonuçları karşılaştırıldı. Sonuçlar: Hastaların ortalama yaşı 34 yıl 5.5 aralık: 21-46 idi. Başvuru sırasındaki ortalama gebelik yaşı 6.86 hafta 1.82 olup, vakaların 35inde fetal kalp atımı pozitif olarak saptandı. Vakaların 28.3ünde komplikasyonlar gelişti ve en yaygın komplikasyon hematomdu 26.7. Kombine tedavi grubunda kan transfüzyonu ve hematom ile mesane yaralanması gibi komplikasyonlar daha yüksek oranlarda görüldü sırasıyla p0.005 ve p0.001. Tekrar gebelik isteyen 16 hastanın 26.7 14ü başarılı bir şekilde gebe kaldı. Bu gebeliklerden 7si erken gebelik kaybı ile sonuçlanırken, 7si 35 haftadan sonra canlı doğumla sonuçlandı. Tartışma: CSPnin erken teşhisi ve kanıta dayalı tedavisi, hayatı tehdit eden obstetrik komplikasyonların önlenmesinde kritik öneme sahiptir. Optimal tanı ve tedavi stratejilerini belirlemek için daha geniş, prospektif çalışmalara ihtiyaç vardır.

Makale detayları

Management and reproductive outcomes following cesarean scar pregnancy: experiences of two tertiary centers in a cohort of 60 women

Yazarlar:

Zeynep Şeyhanlı | Burak Bayraktar | Gülşan Karabay | Mevlüt Bucak | Nazan Vanlı Tonyalı | Gizem Aktemur | Betül Tokgöz | Büşra Demir Çendek | Şevki Çelen | Ali Çağlar | Yaprak Üstün

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Kadın Hastalıkları ve Doğum

Dergi:

Journal of Medicine and Palliative Care Vol.5 Issue 5, pp.256-264

Belge Tipi:

Makale

Yayın Tarihi:

10/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001330458

pISSN:

2717-7505

Cesarean scar pregnancy

treatment

treatment approaches

reproductive outcomeSezaryen skar gebeliği

tedavi

tedavi yaklaşımları

reprodüktif sonuçlar

Sayı

Makale detayları

Yazarlar: Zeynep Şeyhanlı | Burak Bayraktar | Gülşan Karabay | Mevlüt Bucak | Nazan Vanlı Tonyalı | Gizem Aktemur | Betül Tokgöz | Büşra Demir Çendek | Şevki Çelen | Ali Çağlar | Yaprak Üstün

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Kadın Hastalıkları ve Doğum

Dergi: Journal of Medicine and Palliative Care Vol.5 Issue 5, pp.256-264

Belge Tipi: Makale

Yayın Tarihi: 10/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001330458

pISSN: 2717-7505

Sayı

Yazarlar:

Zeynep Şeyhanlı | Burak Bayraktar | Gülşan Karabay | Mevlüt Bucak | Nazan Vanlı Tonyalı | Gizem Aktemur | Betül Tokgöz | Büşra Demir Çendek | Şevki Çelen | Ali Çağlar | Yaprak Üstün

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Kadın Hastalıkları ve Doğum

Dergi:

Journal of Medicine and Palliative Care Vol.5 Issue 5, pp.256-264

Belge Tipi:

Makale

Yayın Tarihi:

10/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001330458

pISSN:

2717-7505