Clinical and historical features of cesarean scar pregnancies in a tertiary hospital with a high rate of cesarean section: A case–control survey
Abstract Background and Aims Cesarean scar pregnancy (CSP) is a rare medical condition accounting for 1:2000 of all pregnancies with prior history of cesarean deliveries (CS). As the rate of CS is increasing worldwide, it is important to know the nature of CSP and its complications. Methods In this...
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| Format: | Article |
| Language: | English |
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Wiley
2024-02-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.1823 |
| _version_ | 1797221155982016512 |
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| author | Seyedeh Hajar Sharami Sima Fallah Arzpeyma Sina Montazeri Zahra Haghparast Ghadim‐limudahi Habib Eslami‐Kenarsari Seyedeh Maryam Attari Harir Tanhaye Kamakoli |
| author_facet | Seyedeh Hajar Sharami Sima Fallah Arzpeyma Sina Montazeri Zahra Haghparast Ghadim‐limudahi Habib Eslami‐Kenarsari Seyedeh Maryam Attari Harir Tanhaye Kamakoli |
| author_sort | Seyedeh Hajar Sharami |
| collection | DOAJ |
| description | Abstract Background and Aims Cesarean scar pregnancy (CSP) is a rare medical condition accounting for 1:2000 of all pregnancies with prior history of cesarean deliveries (CS). As the rate of CS is increasing worldwide, it is important to know the nature of CSP and its complications. Methods In this retrospective case–control study, we evaluated 264 pregnant women; 86 cases with ultra‐sonographic findings of CSP and 178 controls: normal pregnancies with gestational age less than 12 weeks. The variables consisted of demographic characteristics, the features and causes of the prior CS, the time distance to the current pregnancy, sonographic features, and the final management. All data analyzed using SPSS version 21. Results There was a significant difference between the two study groups regarding to parity, abortions and D&Cs (p < 0.001). In the case group, 19.8% of patients had positive results for STDs versus 16.3% in the control group (p > 0.990). The mean average of intervals between the last CS and current pregnancies were 48.22 ± 37.03 in the case group versus 61.25 ± 36.25 months in the control group (p < 0.001). Regression Logistic analysis showed advanced maternal age (p < 0.001), positive history of abortions and D&C (p < 0.001), elective type of prior c/s (p < 0.001) and the short time interval between prior CS and current pregnancy (p < 0.001) could significantly predict the patients at higher risk of presenting CSP in the case group. Conclusions Based on our findings, advanced maternal age, positive history of abortion, the elective type of the former CS, and short time intervals between previous CS and current pregnancy are the main risk factors of CSP. |
| first_indexed | 2024-03-07T19:01:29Z |
| format | Article |
| id | doaj.art-899a6af9c8b341f995e176e08e6f62ff |
| institution | Directory Open Access Journal |
| issn | 2398-8835 |
| language | English |
| last_indexed | 2024-04-24T13:00:57Z |
| publishDate | 2024-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj.art-899a6af9c8b341f995e176e08e6f62ff2024-04-05T11:41:32ZengWileyHealth Science Reports2398-88352024-02-0172n/an/a10.1002/hsr2.1823Clinical and historical features of cesarean scar pregnancies in a tertiary hospital with a high rate of cesarean section: A case–control surveySeyedeh Hajar Sharami0Sima Fallah Arzpeyma1Sina Montazeri2Zahra Haghparast Ghadim‐limudahi3Habib Eslami‐Kenarsari4Seyedeh Maryam Attari5Harir Tanhaye Kamakoli6Obstetrics & Gynecology, Reproductive Health Research Center, Department of Obstetrics & Gynecology, Al‐zahra Hospital, School of Medicine Guilan University of Medical Sciences Rasht IranReproductive Health Research Center, Department of Obstetrics & Gynecology, Al‐zahra Hospital, School of Medicine Guilan University of Medical Sciences Rasht IranReproductive Health Research Center, Department of Obstetrics & Gynecology, Al‐zahra Hospital, School of Medicine Guilan University of Medical Sciences Rasht IranReproductive Health Research Center, Department of Obstetrics & Gynecology, Al‐zahra Hospital, School of Medicine Guilan University of Medical Sciences Rasht IranEpidemiology, Vice‐Chancellorship of Research and Technology Guilan University of Medical Science Rasht IranMidwifery, Reproductive Health Research Center, Al‐zahra Hospital Guilan University of Medical Sciences Rasht IranMidwifery, Reproductive Health Research Center, Al‐zahra Hospital Guilan University of Medical Sciences Rasht IranAbstract Background and Aims Cesarean scar pregnancy (CSP) is a rare medical condition accounting for 1:2000 of all pregnancies with prior history of cesarean deliveries (CS). As the rate of CS is increasing worldwide, it is important to know the nature of CSP and its complications. Methods In this retrospective case–control study, we evaluated 264 pregnant women; 86 cases with ultra‐sonographic findings of CSP and 178 controls: normal pregnancies with gestational age less than 12 weeks. The variables consisted of demographic characteristics, the features and causes of the prior CS, the time distance to the current pregnancy, sonographic features, and the final management. All data analyzed using SPSS version 21. Results There was a significant difference between the two study groups regarding to parity, abortions and D&Cs (p < 0.001). In the case group, 19.8% of patients had positive results for STDs versus 16.3% in the control group (p > 0.990). The mean average of intervals between the last CS and current pregnancies were 48.22 ± 37.03 in the case group versus 61.25 ± 36.25 months in the control group (p < 0.001). Regression Logistic analysis showed advanced maternal age (p < 0.001), positive history of abortions and D&C (p < 0.001), elective type of prior c/s (p < 0.001) and the short time interval between prior CS and current pregnancy (p < 0.001) could significantly predict the patients at higher risk of presenting CSP in the case group. Conclusions Based on our findings, advanced maternal age, positive history of abortion, the elective type of the former CS, and short time intervals between previous CS and current pregnancy are the main risk factors of CSP.https://doi.org/10.1002/hsr2.1823cesarean scar pregnanciesectopic pregnancypregnancyrisk factors |
| spellingShingle | Seyedeh Hajar Sharami Sima Fallah Arzpeyma Sina Montazeri Zahra Haghparast Ghadim‐limudahi Habib Eslami‐Kenarsari Seyedeh Maryam Attari Harir Tanhaye Kamakoli Clinical and historical features of cesarean scar pregnancies in a tertiary hospital with a high rate of cesarean section: A case–control survey Health Science Reports cesarean scar pregnancies ectopic pregnancy pregnancy risk factors |
| title | Clinical and historical features of cesarean scar pregnancies in a tertiary hospital with a high rate of cesarean section: A case–control survey |
| title_full | Clinical and historical features of cesarean scar pregnancies in a tertiary hospital with a high rate of cesarean section: A case–control survey |
| title_fullStr | Clinical and historical features of cesarean scar pregnancies in a tertiary hospital with a high rate of cesarean section: A case–control survey |
| title_full_unstemmed | Clinical and historical features of cesarean scar pregnancies in a tertiary hospital with a high rate of cesarean section: A case–control survey |
| title_short | Clinical and historical features of cesarean scar pregnancies in a tertiary hospital with a high rate of cesarean section: A case–control survey |
| title_sort | clinical and historical features of cesarean scar pregnancies in a tertiary hospital with a high rate of cesarean section a case control survey |
| topic | cesarean scar pregnancies ectopic pregnancy pregnancy risk factors |
| url | https://doi.org/10.1002/hsr2.1823 |
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