ArticleThe journal of obstetrics and gynaecology research2020
Identifying possible risk factors for cesarean scar pregnancy based on a retrospective study of 291 cases.
Article in The journal of obstetrics and gynaecology research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed, 62 citations in OpenAlex.
- Maternal near-miss from cesarean scar ectopic pregnancy: emerging clinical challenge in resource-limited settings-a case series.Journal of medical case reports · 2026Article
- Article
- Application of machine learning models for predicting risk factors of acute exacerbations in chronic obstructive pulmonary disease.Frontiers in medicine · 2026Article
- Management of Viable Cesarean Scar Pregnancies (CSP) with Potassium Chloride (KCl) and the Requirement for Adjunctive Treatments.International journal of women's health · 2026Article
- Magnetic resonance imaging-based classification of cesarean scar pregnancy: prediction of intraoperative blood loss and the role of preoperative uterine artery embolization.Frontiers in medicine · 2026Article
- Article
- ITGB3 and associated molecules as critical biomarkers in Cesarean Scar Pregnancy.BMC pregnancy and childbirth · 2025Article
- Reproductive outcomes in women with prior cesarean scar pregnancies over six years.Scientific reports · 2025Article
- Analysis of reproductive outcomes after cesarean scar pregnancy surgery: a multicenter retrospective study.Frontiers in medicine · 2025Article
- Comparison of two different suction curettage methods in cesarean scar pregnancy treatment.BMC pregnancy and childbirth · 2024Article
- Surgical treatment of cesarean scar pregnancy based on the three-category system: a retrospective analysis.BMC pregnancy and childbirth · 2024Article
- Outcome and treatment of cesarean scar ectopic pregnancy under ultrasound-guided vacuum aspiration.The Journal of international medical research · 2024Article
- Article
- Exaggerated placental site in a cesarean scar: Misdiagnosed as gestational trophoblastic neoplasia: A case report.Experimental and therapeutic medicine · 2024Article
- Surgical treatment and reproductive outcomes in caesarean scar pregnancy at a single center.Reproductive biology and endocrinology : RB&E · 2024Article
- Clinical and historical features of cesarean scar pregnancies in a tertiary hospital with a high rate of cesarean section: A case-control survey.Health science reports · 2024Article
- Case report: Successful laparoscopic management of early abdominal pregnancy.Frontiers in medicine · 2024Article
- Scarred for life: a review of cesarean section scar pregnancy and potential pitfalls in diagnosis.Abdominal radiology (New York) · 2023Review
- Assessing the risk factors and management outcomes of ectopic pregnancy: A retrospective case-control study.International journal of reproductive biomedicine · 2023Article
- Caesarean Scar Pregnancy: Single Dose of Intrasac Ultrasound-Guided Methotrexate Injection Seems to be a Safe Option for Treatment.Ultrasound international open · 2023Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
aimCesarean scar pregnancy (CSP) is a rare but life-threatening type of ectopic pregnancy. This study's aim is to investigate the clinical characteristics and possible risk factors for cesarean scar pregnancy.
methodsA clinically randomized, unpaired and retrospective case-control study was implemented. A study group of 291 CSP patients and a control group of 317 full-term pregnant women with a history of cesarean section (CS) were recruited in our hospital from May 2013 to October 2018. Their demographic characteristics and medical and obstetric history were collected.
resultsOnly symptoms suggestive of an impending abortion, such as vaginal bleeding with or without abdominal pain, were identified as the clinical characteristics of CSP. Maternal age older than 35 years, gravidity higher than 3 (especially gravidity higher than 5), more than two induced abortions (especially more than five abortions), an interval of less than 5 years (especially less than 2 years) between the current pregnancy and the last CS, history of CS performed in a rural hospital, history of induced abortions after CS and retroposition of the uterus were possible independent risk factors for CSP.
conclusionCSP is a result of a combination of multiple factors associated with CS. There are no unique early clinical features of CSP. As a unique type of ectopic pregnancy, early diagnosis, early termination and early clearance should be the treatment principles. Further research is needed to evaluate the relationship between the cesarean scar defect and CSP in the future.
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