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| The pregnancy outcomes of women pregnancy again after uterine artery chemoembolization combined with dilation and curettage for treating cesarean scar pregnancy |
| General Hospital of Tianjin Medical University, Tianjin |
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Abstract Objective: To analyze the pregnancy outcomes of women pregnancy again after uterine artery chemoembolization (UACE) combined with dilation and curettage (D&C) for treating cesarean scar pregnancy (CSP). Methods: From January 2010 to April 2014, a total of 96 pregnant women who had treated by UACE combined with D&C because of CSP were included and followed up, and their outcomes of pregnancy again were analyzed. Results: The average time of followed up of all women were 43.8±12.6 months. 7 pregnant women among them had lost of follow-up. In 25 women with wanted pregnancy, 20 women had 24 times of spontaneous pregnancy. And in these spontaneous pregnancies, there was 6 women experienced repeated CSP (RCSP), and other 8 women had live term deliveries without the presence of placenta previa, placenta accreta, uterine rupture, or postpartum hemorrhage in the perinatal period. Conclusion: The reproductive women have the opportunity to conceive normally after UACE combined with D&C used to treat previous CSP. The subsequent pregnancy again includes intrauterine normal pregnancy, missed abortion and RCSP. If the pregnancy keeps to the third trimester, the overall perinatal outcomes were favorable.
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