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One type of ectopic pregnancy is where the pregnancy is implanted in the scar left in the uterus following a cesarean section; these cases are thought to be one in 1800-3000 pregnancies. The increase in the incidence of cesarean scar pregnancy (CSP) is a consequence of the increasing rates of cesarean delivery. If misdiagnosed CSP can be a cause of life-threatening pregnancy complications. They include morbidly adherent placenta, placenta previa, and severe hemorrhage. If such a pregnancy is allowed to continue, a uterine scar rupture with hemorrhage will ensue and necessitate hysterectomy. It is therefore crucial to timely diagnose and manage these pregnancies. The therapeutic options can be medical, surgical, or a combination of both. However there has been no consensus on the management still yet. In this article, there is a systematic up-to-date review on CSP diagnosis, treatment and prevention measures.

About the Authors

A. E. Sidorov
Chuvash State University named after I.N. Ulyanov.
Russian Federation

Sidorov Anatoliy Evgenevich – PhD, Assistant Professor, Obstetrics and Gynecology Department n.a. G.M. Vorontsova.

  pr-kt Moskovskiy, 15, Cheboksary, 428015. 

A. G. Gunin
Chuvash State University named after I.N. Ulyanov.
Russian Federation

Gunin Andrei Germanovich – MD, Professor, Obstetrics and Gynecology Department n.a. G.M. Vorontsova.

  pr-kt Moskovskiy, 15, Cheboksary, Russia, 428015.

V. V. Chernyshov
Chuvash State University named after I.N. Ulyanov.
Russian Federation

Chernyshov Vitaliy Vasilyevich – PhD, Assistant Professor, Obstetrics and Gynecology Department n.a. G.M. Vorontsova.

  pr-kt Moskovskiy, 15, Cheboksary, Russia, 428015.


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For citation:

Sidorov A.E., Gunin A.G., Chernyshov V.V. LONG-TERM RISKS OF CESAREAN DELIVERY: CESAREAN SCAR PREGNANCY. A SYSTEMATIC REVIEW. Obstetrics, Gynecology and Reproduction. 2017;11(4):48-56. (In Russ.)

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