Assistant Professor, obstetrics and gynecology department, Isfahan medical science school, Isfahan, Iran.
Professor, fellowship of infertility, obstetrics and gynecology department, Isfahan medical science school, Isfahan, Iran
Introduction: caesarian scar pregnancy became a worrisome obstetric problem as a side effect of rising number of caesarian sections these days. Furthermore, from the challenge of diagnosis in case of low suspicious in the initial prenatal sonographic screening, there is remaining debate of the standard of management. According to rare reported cases, the most acceptable recommendation still is termination of pregnancy to decrease the chance of further maternal dreadful complication.
Material and method: here we assumed to explain a rare case of scar-pregnancy with fortunate outcome.
Result: A case of twin pregnancy had been terminated in gestational age of 34 weeks in a tertiary care center with history of first trimesters diagnosis of caesarian scar pregnancy, who had decided to continue pregnancy under close follow-up.
Conclusion: Since pregnancy at the site of a previous cesarean section is very rare, but due to the complications of this type of pregnancy, choosing a suitable clinical approach for these patients is desirable.
This type of pregnancy can increase the value of antenatal care if it can be continued until the fetus is viable and its complications, including placenta accreta and bleeding, are managed.
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