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Controversies in family planning: Management of cesarean-scar ectopic pregnancy

      The incidence of pregnancies located within a cesarean scar or “cesarean-scar ectopics” has risen with increasing rates of cesarean delivery [
      • Timor-Tritsch IE
      • Monteagudo A.
      Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review.
      ] and likely with advances in imaging technology and diagnostic awareness. The incidence of pregnancies located within a cesarean scar is estimated to be 1 in 2000 pregnancies and cesarean-scar ectopic pregnancies accounts for 6.1% of ectopic pregnancies in women with a cesarean scar [
      • Chetty M
      • Elson J.
      Treating non-tubal ectopic pregnancy.
      ,
      • Parker VL
      • Srinivas M.
      Non-tubal ectopic pregnancy.
      ,
      • Shen L FJ
      • Huang W
      • Zhu H
      • Wang Q
      • Yang S
      • Wu T
      Interventions for non-tubal ectopic pregnancy.
      ]. These pregnancies are now recognized as part of the continuum of morbidly adherent placenta including placenta accreta [
      • Timor-Tritsch IE
      • Monteagudo A.
      Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review.
      ] and pose a significant risk to not only a patient's health, but also her future fertility.

      Keywords

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