What is it about?

Pregnancy on a cesarean scar is a complication that occurs in the context of a previous cesarean section. It refers to the implantation of the gestational sac in the cesarean scar or dehiscence of a prior cesarean section, with increased risks for both the mother and fetus, including uterine rupture, placenta accreta, and postpartum hemorrhage.

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Why is it important?

This article presents a clinical case of pregnancy on a cesarean scar, and through a review of recent literature, we highlight the diagnostic and therapeutic features, which, when well understood by practitioners, can improve the prognosis of this condition.

Perspectives

A 33-year-old patient, GIIIIP, with a history of stillbirth at term in 2020 due to gestational hypertension, a living child born vaginally in 2021, and a child delivered via cesarean section in 2022 in the context of diabetes (on insulin, later switched to oral antidiabetic drugs), with 15 days off medication and a pregnancy termination at 7 weeks gestational age by aspiration a year ago, consulted due to a delay in her menstruation.

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This page is a summary of: Pregnancy on Cesarean Scar: A Case Report and Review of the Literature, Journal of Case Reports and Medical History, March 2025, Acquire Publications LLC,
DOI: 10.54289/jcrmh2500107.
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