Year : 2019 | Volume
: 8 | Issue : 1 | Page : 12--18
Management of cesarean scar pregnancy among vietnamese women
Tuan Minh Vo1, Thong Van2, Long Nguyen2, Quynh Tran2
1 Department of Obstetrics and Gynecology, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam
2 Department of Gynecology, Tudu Hospital, Ho Chi Minh City, Vietnam
Objective: To demonstrate the efficacy of management for cesarean scar ectopic pregnancies up to 8 weeks' gestation using ultrasound-guided Foley balloon catheter placement combined with dilation and curettage (D and C) at TuDu Hospital.
Subjects and Methods: A quasi-experimental study was conducted from March 2015 to March 2016. Patients with imaging-confirmed cesarean ectopic pregnancies were admitted to an inpatient unit at Tu Du Hospital. A Foley balloon catheter was placed inside the uterus under ultrasound guidance and was left in place for 24 h. Afterward, the patient underwent ultrasound-guided D and C. Follow-up to confirm success included serial blood draws to measure beta-human chorionic gonadotropin (β-hCG) levels until a value of 0, and routine ultrasounds to confirm absence of a gestational sac and no evidence of vascularity at the site of the cesarean section scar.
Results: A total of 311 patients were enrolled over 3 months. Overall, 90.7% (95% confidence interval [CI]: 86.8%–93.9%) patients were successfully treated with this regimen. Several factors that were significantly associated with successful management included gestational age <6 weeks (odds ratio [OR] 3.1, 95% CI: 1.03%–8.76%), β-hCG level <11,000 mUI/mL before discharge from the hospital (OR 6.5, 95% CI: 1.42%–30.6%), gestational sac volume 2 weeks after treatment measuring <5 cm3 (OR 9.1, 95% CI: 1.96%–50.1%).
Conclusions: This is an easily applicable method with a short follow-up period and reduction in treatment costs compared to standard treatment with methotrexate injection.
Dr. Tuan Minh Vo
Department of Obstetrics and Gynecology, University of Medicine and Pharmacy, No. 217 Hong Bang, District 5, Ho Chi Minh City
|How to cite this article:|
Vo TM, Van T, Nguyen L, Tran Q. Management of cesarean scar pregnancy among vietnamese women.Gynecol Minim Invasive Ther 2019;8:12-18
|How to cite this URL:|
Vo TM, Van T, Nguyen L, Tran Q. Management of cesarean scar pregnancy among vietnamese women. Gynecol Minim Invasive Ther [serial online] 2019 [cited 2019 May 25 ];8:12-18
Available from: http://www.e-gmit.com/article.asp?issn=2213-3070;year=2019;volume=8;issue=1;spage=12;epage=18;aulast=Vo;type=0