Cesarean scar pregnancies and their management: case series

Objective: To manage early trimester ectopic scar pregnancies, treatment, follow up and protecting fertility. Case: Cesarean scar pregnancy diagnosis was done by ultrasound in five cases by previously described sonographic criteria. Missed period, vaginal bleeding and, pelvic pain are major admittance symptoms. We performed local therapies for all cases including aspiration by OPU needle, intrasac methotrexate and intracardiac potassium chloride and systemic methotrexate (50 mg/kg). We did not need extra surgery and blood transfusion. Conclusion: Every woman who had a cesarean section history must be checked carefully due to cesarean section pregnancy following delayed menstruation and positive pregnancy test. Various cesarean section pregnancy treatment modalities have been reported; however, the best approach for this is still under debate. Local treatment of cesarean scar pregnancy could be achieved by combination of local techniques in carefully selected cases.