OP03.04: An illustrated case report of the diagnosis, treatment and follow up of Cesarean scar pregnancy occurring twice in the same patient

Abstract

introduction of medical management. These groups were further divided into incomplete (ICM) or missed miscarriage (MM). Within these groups the choice of miscarriage, success rates and any subsequent surgical management were measured. Results: Medical management led to a 17% (95% CI:11-22%, p < 0.001) reduction in the proportion of women undergoing surgical management from 79% to 62%. The availability of medical management had no effect on the proportion of women choosing surgical management for ICM, 27% vs 26%. However, there was a 21% (69 to 48%) reduction in women with MM choosing surgical management. 89/108(82%) women had successful medical management. The remaining 19 underwent surgical management. The association between management type and success was highly statistically significant. Table 1 is a summary of the management outcomes for women who chose conservative or medical management in both groups combined. Conclusions: Medical management of miscarriage is effective, is chosen by 18% of miscarrying women and reduces the number of primary surgical procedures. OP03.03 Does the presence of subchorionic haematoma increase the risk of miscarriage?