Clinical, subclinical manifestations and treatment outcomes of cesarean scar pregnancy at Hai Phong hospital of obstetrics and gynecology

Abstract

Objectives: (1) Describe the clinical, subclinical manifestations of patients who have cesarean scar pregnancy at Hai Phong Hospital of Obstetrics and Gynecology. (2) Give comments on treatment outcomes of cesarean scar pregnancy of these patients. Method: A descriptive cross-sectional study of the women with cesarean scar pregnancy diagnosed and treated at Hai Phong Hospital of Obstetrics and Gynecology. Results: Clinical symptoms: vaginal bleeding: 20.8%, lower abdominal pain: 12.5%, asymptomatic: 33.3%. Subclinical findings: 63.5% of cases is Cross-over sign 1 category (COS-1); 26.0% of cases is COS-2+ and 10.4% is COS-2-. 66.7% of cases had increased angiogenesis at the cesarean scar defect. Treatment outcomes: in COS-1 group which had increased angiogenesis, dilatation and curettage had succeeded in 92.9% of all, the combination of uterine artery embolization and hysteroscopy had succeeded in 100%. All the patients in COS-2 category and non-angiogenesis had treated successfully without complications. Conclusions: Cesarean scar pregnancy has non-specific clinical symptoms. Treatment by the combination of uterine artery embolization and hysteroscopy initially gave better outcomes in COS-1 with increased angiogenesis group.