Short communication - Journal of Basic and Clinical Reproductive Sciences (2021) Volume 10, Issue 3

Received: 15-Mar-2021 Accepted Date: Mar 22, 2021 ; Published: 29-Mar-2021

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Abstract

A retrospective study was conducted in women with history of a caesarean scar pregnancy (CSP) to explore the possible causative mechanisms. Over a period of 40 months, a total of 16,926 deliveries and 3554 caesarean sections (CS) occurred in our hospital. Nine cases of CSP were identified at an incidence of 1:1880 births and 0.25% of all CS. Analysis of the indications of the previous CS revealed that 88.8% of women with known indication had undergone CS without labour. Out of them, 75% underwent CS at preterm gestation and 25% had term elective procedure for breech presentation. Of the patients, 77.7% had multiple CS. Conservation of the uterus was possible in 77.7% of patients utilising non-radical forms of treatment. As most of the women underwent CS with a non-contractile uterus without labour, we believe that the risk of CSP may be related to the indications of the previous CS as the number of CS alone could not explain the occurrence of CSP. It is time to explore this area so that screening strategies can be developed to detect CSP at the earliest possible gestation and to prevent life-threatening complications such as uterine rupture and severe hemorrhage.

Biography

Muzibunnisa Begam is a Consultant Ob-Gyn and a Maternal Fetal Medicine Specialist with more than 20 years of experience in the field of Ob-Gyn. She is a Fellow of Royal College of Obstetricians and Gynecologists (FRCOG) and further sub-specialized in Maternal Fetal Medicine from the United Kingdom. She has published in several internationally renowned journals and her research interests are future complications of cesarean section and prenatal manifestation of autosomal recessive diseases prevailing in United Arab Emirates.