ArticleBMC pregnancy and childbirth2019
Risk factors and consequences of undiagnosed cesarean scar pregnancy: a cohort study in China.
Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 19 citations in OpenAlex.
- Management of Viable Cesarean Scar Pregnancies (CSP) with Potassium Chloride (KCl) and the Requirement for Adjunctive Treatments.International journal of women's health · 2026Article
- Multidisciplinary team management of caesarean scar ectopic pregnancy progressing to a live birth and caesarean hysterectomy at 34 weeks: A case report.Case reports in women's health · 2025Article
- A Possible Role of Clinical Factors in Choosing the Best Treatment Modality in Cesarean Scar Pregnancy.Diagnostics (Basel, Switzerland) · 2025Article
- Article
- Uterine Artery Embolization on Serum β-HCG Levels, Fertility Function and Clinical Efficacy in Patients With Cesarean Uterine Scar Pregnancy.Frontiers in surgery · 2022Article
- Cesarean scar pregnancy management: Different approach for different situation; A case series.Annals of medicine and surgery (2012) · 2021Article
- Potential risk factors for caesarean scar pregnancy: a retrospective case-control study.Human reproduction open · 2021Article
- Risk factors for poor hemostasis of prophylactic uterine artery embolization before curettage in cesarean scar pregnancy.The Journal of international medical research · 2020Article
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe historically high cesarean section rate and the recent change in second-child policy could increase the risk of cesarean scar pregnancy (CSP) in China. This study aims to assess risk factors and consequences of undiagnosed CSP in China.
methodsWe conducted a retrospective cohort study between January 2013 and December 2017 in Qingyuan, Guangdong, China. Independent risk factors for undiagnosed CSP at the first contact with healthcare providers were assessed by log binomial regression analysis. Occurrence of serious complications was compared between undiagnosed and diagnosed CSP cases.
resultsA total of 195 women with CSP were included in the analysis. Of them, 81 (41.5%) women were undiagnosed at the first contact with healthcare providers. Women initially cared in primary or secondary hospitals were at increased risk for undiagnosed CSP: adjusted relative risks (95% confidence intervals) were 3.28 (2.06, 5.22) and 1.91 (1.16, 3.13), respectively, compared with women initially cared in the tertiary hospital. Undiagnosed CSP cases had higher incidences in serious complications (11 versus 0) and post-surgery anemia (23 (28.4%) versus 8 (7.0%)), stayed longer in hospital, and cost higher than diagnosed CSP cases.
conclusionsInitial care provided at primary or secondary maternity care facilities is an important risk factor for undiagnosed CSP, with serious consequences to the affected women.
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