Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review

Timor‐Tritsch, I. E.; Monteagudo, Ana

doi:10.1016/j.ajog.2012.03.007

Cited by 541 publications

(594 citation statements)

References 208 publications

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“…4,5 C-section can also compromise future pregnancies, and have long term negative effects for the newborns, such as obesity, asthma, type-1 diabetes, and lead to unexplained stillbirths in the second pregnancy. 2,[6][7][8][9][10][11][12] These risks explain why c-section on demand is considered, "an expensive and dangerous luxury". 13 Current evidence strongly advises against unnecessary c-sections.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with caesarean sections in Phnom Penh, Cambodia

Schantz

Sim

Petit

et al. 2016

Reproductive Health Matters

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C-sections are an increasingly performed medical practice which can save lives but may also lead to major complications. Through a mixed methods study conducted in 2015 in Cambodia, we aimed to analyze the reasons for requesting a c-section and to explore factors that are associated with c-sections. 60% of the women in the cohort who gave birth by c-section reported having requested it. Through 31 in-depth interviews, we determined the reasons given by women for requesting a c-section before and during labour. Before labour, reasons for requesting a c-section were: choosing the delivery date; bringing luck and joy to the family; protecting the genitals, and the belief that c-section is safer for the mother and for the baby. Reasons given during labour were fear, pain, and having no more energy. We also observed two major factors driving the women's request for a c-section: family support for requesting a c-section, and the overusage of ultrasound examinations. Our multivariate analysis of the interviews of 143 women before and after delivery showed that having a previous c-section, delivering in a private facility, being older than median at the time of sexual debut, residing outside of Phnom Penh and having the delivery costs covered by the family were all factors independently and significantly associated with a higher chance of c-section delivery. We conclude that women are not well informed to give consent for c-delivery, and that their request is often affected by false belief and poor knowledge.

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Section: Introductionmentioning

confidence: 99%

Factors associated with caesarean sections in Phnom Penh, Cambodia

Schantz

Sim

Petit

et al. 2016

Reproductive Health Matters

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“…By 2006 there were 155 cases and by 2011 the number of cases described in the literature was 751, showing a rapid increase in the incidence of this type of pregnancy. 1,[8][9][10][11] The basis of the pathophysiology is the invasion of the blastocyst in the myometrium through minimal communication between the previous cesarean scar and the endometrial cavity. 12 The cesarean scar ectopic pregnancy tends to have a more aggressive behavior because of the risk of uterine rupture and bleeding in the first and second trimesters of pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Local management with methotrexate of cesarean scar ectopic pregnancy with live embryo guided by transvaginal ultrasound: A case report

Leite

Fraietta

Elito

2016

Rev. Assoc. Med. Bras.

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Cesarean scar ectopic pregnancy is a rare type of ectopic pregnancy with high morbidity and mortality. Use of conservative conducts, including medical management with methotrexate, has avoided mutilating surgeries such as hysterectomy and spared the fertility of women. We report the case of a 30-year old patient with a cesarean scar ectopic pregnancy, with a live embryo, who was treated locally with transvaginal ultrasound-guided injection of methotrexate, complemented with various doses of systemic methotrexate.

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“…30 -max. 38) and thus earlier than in the cases of operative interventions [3,4,[8][9][10][11][12][13][14]. Also in two cases an immediate and severe postpartum bleeding occurred, in one case requiring ligation of the hypogastric artery.…”

Section: Drug Proceduresmentioning

confidence: 99%

“…In the case of a twin pregnancy, one embryo can be implanted correctly while an additional heterotopic -quasi intramurally positioned -embryo usually attaches in the scar of a previous Caesarean section on the anterior wall of the uterus. Due to the increasing number of Caesarean sections as well as the higher frequency of pregnancies after ART, it is expected that the prevalence of heterotopic pregnancies will also increase [3][4][5]. There are only isolated case reports on such pregnancies in the literature, each with an individualised procedure; the first one was published by Salomon et al in 2003 [3].…”

mentioning

confidence: 99%

Operative Therapy for Heterotopic Scar Pregnancy and Successful Birth of the Intrauterine Foetus – Case Report and Review of the Literature

Armbrust

Krätschell

Henrich

et al. 2015

Geburtshilfe Frauenheilkd

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A heterotopic pregnancy in the vicinity of a previous Caesarean section scar (HSP) occurs frequently after fertility treatment. In spite of the low incidence to date, the increasing numbers of Caesarean sections as well as IVF treatment will probably lead to a higher prevalence in the future. Up to now the literature contains only isolated case reports on therapeutic options. These range from conservative management through selective termination of the HSP by injections of methotrexate or potassium chloride into the amniotic sac to invasive methods such as resectoscopic removal or laparoscopy. In the case presented here we describe the successful excision of the HSP by laparotomy with a subsequent uncomplicated Caesarean section and delivery of a healthy baby at the 37?+?0 week of pregnancy.

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Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review

Cited by 541 publications

References 208 publications

Factors associated with caesarean sections in Phnom Penh, Cambodia

Factors associated with caesarean sections in Phnom Penh, Cambodia

Local management with methotrexate of cesarean scar ectopic pregnancy with live embryo guided by transvaginal ultrasound: A case report

Operative Therapy for Heterotopic Scar Pregnancy and Successful Birth of the Intrauterine Foetus – Case Report and Review of the Literature

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