Risk factors and consequences of undiagnosed cesarean scar pregnancy: a cohort study in China
Abstract Background The historically high cesarean section rate and the recent change in second-child policy could increase the risk of cesarean scar pregnancy (CSP) in China. This study aims to assess risk factors and consequences of undiagnosed CSP in China. Methods We conducted a retrospective co...
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| Format: | Article |
| Language: | English |
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BMC
2019-10-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | http://link.springer.com/article/10.1186/s12884-019-2523-0 |
| _version_ | 1818969466298433536 |
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| author | Ri-hua Xie Xiaoyan Guo Meng Li Yan Liao Laura Gaudet Mark Walker Huizhong Lei Shi Wu Wen |
| author_facet | Ri-hua Xie Xiaoyan Guo Meng Li Yan Liao Laura Gaudet Mark Walker Huizhong Lei Shi Wu Wen |
| author_sort | Ri-hua Xie |
| collection | DOAJ |
| description | Abstract Background The historically high cesarean section rate and the recent change in second-child policy could increase the risk of cesarean scar pregnancy (CSP) in China. This study aims to assess risk factors and consequences of undiagnosed CSP in China. Methods We conducted a retrospective cohort study between January 2013 and December 2017 in Qingyuan, Guangdong, China. Independent risk factors for undiagnosed CSP at the first contact with healthcare providers were assessed by log binomial regression analysis. Occurrence of serious complications was compared between undiagnosed and diagnosed CSP cases. Results A total of 195 women with CSP were included in the analysis. Of them, 81 (41.5%) women were undiagnosed at the first contact with healthcare providers. Women initially cared in primary or secondary hospitals were at increased risk for undiagnosed CSP: adjusted relative risks (95% confidence intervals) were 3.28 (2.06, 5.22) and 1.91 (1.16, 3.13), respectively, compared with women initially cared in the tertiary hospital. Undiagnosed CSP cases had higher incidences in serious complications (11 versus 0) and post-surgery anemia (23 (28.4%) versus 8 (7.0%)), stayed longer in hospital, and cost higher than diagnosed CSP cases. Conclusions Initial care provided at primary or secondary maternity care facilities is an important risk factor for undiagnosed CSP, with serious consequences to the affected women. |
| first_indexed | 2024-12-20T14:21:02Z |
| format | Article |
| id | doaj.art-2c11e1a12dc9476aa6cb56ade9a120b2 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-20T14:21:02Z |
| publishDate | 2019-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-2c11e1a12dc9476aa6cb56ade9a120b22022-12-21T19:37:55ZengBMCBMC Pregnancy and Childbirth1471-23932019-10-011911610.1186/s12884-019-2523-0Risk factors and consequences of undiagnosed cesarean scar pregnancy: a cohort study in ChinaRi-hua Xie0Xiaoyan Guo1Meng Li2Yan Liao3Laura Gaudet4Mark Walker5Huizhong Lei6Shi Wu Wen7Department of Nursing, General Practice Center, Nanhai Hospital, Southern Medical UniversityDepartment of Obstetrics and Gynecology, the Sixth Affiliated Hospital of Guangzhou Medical UniversityDepartment of Obstetrics, Nanhai Hospital, Southern Medical UniversityOttawa Hospital Research InstituteOttawa Hospital Research InstituteOttawa Hospital Research InstituteDepartment of Obstetrics and Gynecology, the Sixth Affiliated Hospital of Guangzhou Medical UniversityOttawa Hospital Research InstituteAbstract Background The historically high cesarean section rate and the recent change in second-child policy could increase the risk of cesarean scar pregnancy (CSP) in China. This study aims to assess risk factors and consequences of undiagnosed CSP in China. Methods We conducted a retrospective cohort study between January 2013 and December 2017 in Qingyuan, Guangdong, China. Independent risk factors for undiagnosed CSP at the first contact with healthcare providers were assessed by log binomial regression analysis. Occurrence of serious complications was compared between undiagnosed and diagnosed CSP cases. Results A total of 195 women with CSP were included in the analysis. Of them, 81 (41.5%) women were undiagnosed at the first contact with healthcare providers. Women initially cared in primary or secondary hospitals were at increased risk for undiagnosed CSP: adjusted relative risks (95% confidence intervals) were 3.28 (2.06, 5.22) and 1.91 (1.16, 3.13), respectively, compared with women initially cared in the tertiary hospital. Undiagnosed CSP cases had higher incidences in serious complications (11 versus 0) and post-surgery anemia (23 (28.4%) versus 8 (7.0%)), stayed longer in hospital, and cost higher than diagnosed CSP cases. Conclusions Initial care provided at primary or secondary maternity care facilities is an important risk factor for undiagnosed CSP, with serious consequences to the affected women.http://link.springer.com/article/10.1186/s12884-019-2523-0Cesarean scar pregnancyUndiagnosedRisk factorsAdverse outcomes |
| spellingShingle | Ri-hua Xie Xiaoyan Guo Meng Li Yan Liao Laura Gaudet Mark Walker Huizhong Lei Shi Wu Wen Risk factors and consequences of undiagnosed cesarean scar pregnancy: a cohort study in China BMC Pregnancy and Childbirth Cesarean scar pregnancy Undiagnosed Risk factors Adverse outcomes |
| title | Risk factors and consequences of undiagnosed cesarean scar pregnancy: a cohort study in China |
| title_full | Risk factors and consequences of undiagnosed cesarean scar pregnancy: a cohort study in China |
| title_fullStr | Risk factors and consequences of undiagnosed cesarean scar pregnancy: a cohort study in China |
| title_full_unstemmed | Risk factors and consequences of undiagnosed cesarean scar pregnancy: a cohort study in China |
| title_short | Risk factors and consequences of undiagnosed cesarean scar pregnancy: a cohort study in China |
| title_sort | risk factors and consequences of undiagnosed cesarean scar pregnancy a cohort study in china |
| topic | Cesarean scar pregnancy Undiagnosed Risk factors Adverse outcomes |
| url | http://link.springer.com/article/10.1186/s12884-019-2523-0 |
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