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Cited by 785

The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.

First‐trimester diagnosis and management of pregnancies implanted into the lower uterine segment Cesarean section scar

Jurkovic, D., Hillaby, K., Woelfer, B., Lawrence, A., Salim, R., Elson, C. J.·2003·Ultrasound in Obstetrics & Gynecology

Abstract

Objective: To describe first‐trimester ultrasound diagnosis and management of pregnancies implanted into uterine Cesarean section scars. Methods: All women referred for an ultrasound scan because of suspected early pregnancy complications were screened for pregnancies implanted into a previous Cesarean section scar. The management of Cesarean section scar pregnancies included transvaginal surgical evacuation, medical treatment with local injection of 25 mg methotrexate into the exocelomic cavity and expectant management. Results: Eighteen Cesarean section scar pregnancies were diagnosed in a 4‐year period. The prevalence in the local population was 1 : 1800 pregnancies. Surgical treatment was used in eight women and it was successful in all cases. The respective success rates of medical treatment and expectant management were 5/7 (71%) and 1/3 (33%). Five women (28%) required blood transfusion and one woman (6%) had a hysterectomy. Conclusions: Cesarean section scar pregnancies are more common than previously thought. When the diagnosis is made in the first trimester the prognosis is good and the risk of hysterectomy is relatively low. Copyright © 2003 ISUOG. Published by John Wiley & Sons, Ltd.

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Metadata

Authors
Jurkovic, D., Hillaby, K., Woelfer, B., Lawrence, A., Salim, R., & Elson, C. J.
Venue
Ultrasound in Obstetrics & Gynecology
Publisher
Wiley
Published
2003-02-18
Volume
21
Issue
3
Pages
220-227
ISSN
  • 0960-7692 (ISSN-L)
  • 1469-0705
OpenAlex
W1967586345
Cited by
785
References
17
FWCI
17.14
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: First‐trimester diagnosis and management of pregnancies implanted into the lower uterine segment Cesarean section scar. https://app.cochat.ai/papers/10.1002/uog.56
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Jurkovic, D., Hillaby, K., Woelfer, B., Lawrence, A., Salim, R., & Elson, C. J. (2003). First‐trimester diagnosis and management of pregnancies implanted into the lower uterine segment Cesarean section scar. Ultrasound in Obstetrics & Gynecology. https://doi.org/10.1002/uog.56

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