title: Reproductive outcomes of women with a previous history of Caesarean scar ectopic pregnancies.
abstract: BACKGROUND
  Caesarean scar ectopic pregnancy is associated with a number of significant complications. In this study, we report on subsequent reproductive outcomes in a group of women following successful treatment of their scar pregnancies.
  
  
  METHODS
  The study included those women who received treatment for their Caesarean scar pregnancies between April 1999 and October 2005. Their ability to conceive, the time it took to become pregnant and outcomes of subsequent pregnancies were all recorded.
  
  
  RESULTS
  40 women with Caesarean scar pregnancies were managed in our unit. The uterus was conserved in 38/40 cases. Follow-up data were available in 29/38 (76%) of women. Twenty-four out of 29 (83%) attempted to become pregnant. Twenty-one out of 24 [88%, 95% confidence interval (CI): 75-100] women conceived spontaneously. Twenty out of 21 (95%, 95% CI: 86-100) pregnancies were intrauterine and one woman (5%, 95% CI: 0-14) had a recurrent scar ectopic. Thirteen out of 20 (65%, 95% CI: 44-86) intrauterine pregnancies appeared normal. Nine out of 13 (69%) were delivered by Caesarean section. Seven out of 20 (35%, 95% CI: 14-56) intrauterine pregnancies ended in spontaneous abortions.
  
  
  CONCLUSIONS
  Our study shows that reproductive outcomes following treatment of caesarean scar ectopic pregnancies are favourable. The risk of complications including recurrent scar implantation appears to be low.
authors: Early Pregnancy and Gynaecology Assessment Unit, King's College Hospital, Denmark Hill, London SE 5 8RX, UK.
authors: J
authors: J
authors: Ben Nagi
authors: S
authors: S
authors: Helmy
authors: D
authors: D
authors: Ofili-Yebovi
authors: J
authors: J
authors: Yazbek
authors: E
authors: E
authors: Sawyer
authors: D
authors: D
authors: Jurkovic
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix; D005260:Female; D006801:Humans; D007044:Hysterectomy; D011247:Pregnancy; D011256:Pregnancy Outcome; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy*; D012008:Recurrence; D017584:Reproductive History; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal