Department of Woman, Child and General and Specialized Surgery, Obstetrics and Gynecology Unit, University of Campania "Luigi Vanvitelli", 80138, Naples, Italy.
Department of Woman, Child and General and Specialized Surgery, Obstetrics and Gynecology Unit, University of Campania "Luigi Vanvitelli", 80138, Naples, Italy.
Best Pract Res Clin Obstet Gynaecol. 2023 Dec;91:102362. doi: 10.1016/j.bpobgyn.2023.102362. Epub 2023 Jun 1.
Cesarean scar pregnancy (CSP) rate is rising worldwide, in parallel with the rising rates of cesarean delivery. Multiple therapeutic strategies and a timely diagnosis have led to a successful management in most cases, with many women preserving fertility after treatment. Despite this, still little is known regarding pregnancy outcomes after a CSP. The main adverse outcomes reported after CSP are recurrence of CSP, miscarriage, preterm birth, placenta accreta spectrum (PAS) disorders and uterine rupture. In addition, little is known about the influence of the different treatments on subsequent pregnancy outcomes after a CSP. Being aware of the impact of the different management strategies on the fertility outcomes is highly relevant to counsel pregnant women after a CSP. The aim of this manuscript is to provide an up-to-date review of the reproductive outcomes of women with a history of CSP and of the influence of various treatments on subsequent pregnancy outcomes.
剖宫产瘢痕妊娠（CSP）的发生率在全球范围内呈上升趋势，与剖宫产率的上升呈平行关系。多种治疗策略和及时诊断导致大多数情况下的治疗取得成功，许多女性在治疗后仍能保留生育能力。尽管如此，对于 CSP 后的妊娠结局，人们仍然知之甚少。CSP 后报告的主要不良结局包括 CSP 复发、流产、早产、胎盘植入谱系（PAS）疾病和子宫破裂。此外，对于不同治疗方法对 CSP 后后续妊娠结局的影响知之甚少。了解不同管理策略对生育结局的影响对于 CSP 后孕妇的咨询非常重要。本文的目的是提供关于有 CSP 病史的女性的生殖结局以及各种治疗方法对后续妊娠结局的影响的最新综述。
