Pathogenesis and classification of Cesarean scar pregnancy: getting closer to the truth

Abstract

Linked article: This Correspondence comments on Jordans et al. Click https://obgyn.onlinelibrary.wiley.com/doi/full/10.1002/uog.24815 to view the article.

Maternal Morbidity After Double Balloon Catheter Management of Cesarean Scar and Cervical Pregnancies

“…Second, there are a variety of cesarean scar pregnancy typing methods, and the type of cesarean scar pregnancy is crucial to the choice of treatment. 2,3 The article simply states that the selected patients have type 1 cesarean scar pregnancies, which is obviously not rigorous, and the classification method used should be described in detail. Third, 87% of patients in the study received systemic methotrexate, which we do not think is wise.…”

“…We based our protocol on previously published methods using double-balloon catheter and systemic methotrexate, not systemic methotrexate alone. 2,3 We chose to focus on serious complications of cesarean scar pregnancies to support this protocol as a safe treatment option, which the SMFM 2 states is needed. We agree that further data are needed to better define other outcomes.…”