Is the surgical risk of cesarean scar pregnancy high?

If a woman has had a cesarean section during her first pregnancy, it is recommended to wait at least three years before conceiving a second child. Getting pregnant sooner increases the risk of scar pregnancy. Is the surgical risk for scar pregnancy high?

Is the surgical risk for scar pregnancy high?

Yes, there are risks associated with surgery for scar pregnancy. Scar pregnancy occurs when the fertilized egg implants in the scar tissue from a previous cesarean section. It usually requires termination via induced abortion. Continuing the pregnancy is not advised in such cases due to extremely high risks, particularly the potential for uterine rupture. As gestation progresses and the embryo grows, the danger increases significantly. It is strongly recommended that women with this condition seek prompt surgical treatment at a hospital.

The isthmus of the uterus has thin muscular layers, and cesarean scars lack contractile ability. During surgery, blood vessels ruptured at the scar site cannot naturally close, potentially leading to life-threatening hemorrhage. Therefore, comprehensive preoperative evaluations are essential. Treatment plans are individualized based on each patient's condition. Given the poor prognosis associated with most cesarean scar pregnancies, termination of pregnancy is generally recommended once diagnosed. Treatment options include medication and surgery, with methotrexate being the first-line drug therapy. Surgical approaches may include ultrasound-guided dilation and curettage, hysteroscopic removal of the cesarean scar implantation, among others. Uterine artery embolization is an important adjunctive treatment method.

After surgery, adequate rest and enhanced nutritional intake are crucial to support recovery. Generally, it is not recommended for women to conceive again within 2 to 3 years after a cesarean delivery; waiting at least three years before attempting another pregnancy is advisable. We hope this information helps you. Wishing you good health and happiness!