ArticleFrontiers in medicine2025
Analysis of reproductive outcomes after cesarean scar pregnancy surgery: a multicenter retrospective study.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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5 authors.
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Abstract
Objective: This study aimed to analyze the outcome of postoperative re-pregnancies in patients with a cesarean scar pregnancy (CSP) and investigate the factors influencing the occurrence of recurrent cesarean section scar pregnancy (RCSP). Methods: A retrospective analysis was performed on the clinical data of 105 patients with CSP who had undergone surgical treatment and were admitted to the Minda Hospital affiliated with Hubei University for Nationalities, Henan Provincial People's Hospital, Linyi People's Hospital, and Weifang People's Hospital from January 2015 to May 2021. The reproductive outcomes of these patients were monitored, and the factors influencing the occurrence of RCSP were analyzed. Results: In this study, it was found that the reproductive outcomes of patients with CSP after surgery included ectopic pregnancy, normal intrauterine pregnancy, RCSP, and abortion. The postoperative re-pregnancy rate was 51.72% (105/203), and the postoperative RCSP rate was 13.33% (14/105). The number of cesarean sections (OR = 2.004, 95% CI: 1.412-22.579, Conclusion: For patients with residual reproductive requirements after CSP surgery, the removal of uterine scar tissue during the operation can be contemplated. Subsequent postoperative re-pregnancy demands close surveillance and follow-up during gestation, with appropriate termination of pregnancy when warranted. For patients without reproductive needs after surgery, contraception is recommended to prevent the occurrence of RCSP.
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