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A Consequence of Cesarean Delivery: First-Trimester Cesarean Scar Pregnancy

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First-Trimester Ultrasound

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Abstract

Cesarean scar pregnancy (CSP) is a serious, iatrogenic and late consequence of a previous cesarean delivery (CD), which may result in clinical complications throughout all three trimesters of the pregnancy when unrecognized or untreated. Its rate of occurrence parallels the number of CDs. If untreated it may progress and result in a live offspring; however, it is the main cause of morbidly adherent placentae in the late second and in the third trimesters of the pregnancy.

This chapter addresses the diagnostic, differential diagnostic algorithms and sonographic definitions of CSP. It also provides a detailed overview of the treatment protocols found in the literature emphasizing their success as well as their failure rates, which are reflected by their possible but avoidable complications. The text also includes the suggested counseling approach to patients with early diagnosis of CSP that may be useful in patient management.

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Authors and Affiliations

  1. Department of Obsterics and Gynecology, NYU School of Medicine, 550 First Avenue, NBV-9N1, New York, NY, 10016, USA

    Ilan E. Timor-Tritsch MD

  2. Department of Obstetrics and Gynecology, NYU School of Medicine, 550 First Avenue, NBV-9N1, New York, NY, 10016, USA

    Ana Monteagudo MD

  3. Department of Obstetrics and Gynecology, New York University Medical Center, 351 E 82nd St., Apt 3RE, New York, NY, 10028, USA

    Terri-Ann Bennett BS, MD

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  1. Ilan E. Timor-Tritsch MD
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  2. Ana Monteagudo MD
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  3. Terri-Ann Bennett BS, MD
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Correspondence to Ilan E. Timor-Tritsch MD .

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Editors and Affiliations

  1. Division of Maternal-Fetal Medicine Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, Michigan, USA

    Jacques S. Abramowicz

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Timor-Tritsch, I.E., Monteagudo, A., Bennett, TA. (2016). A Consequence of Cesarean Delivery: First-Trimester Cesarean Scar Pregnancy. In: Abramowicz, J. (eds) First-Trimester Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-319-20203-7_17

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  • DOI: https://doi.org/10.1007/978-3-319-20203-7_17

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  • Online ISBN: 978-3-319-20203-7

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