The pregnancy dating dilemma
The pregnancy dating dilemma - Freaky girls on video chat
In accordance with ectopic pregnancy guideline, she was followed up in the EPAU with regular b HCG levels as shown in Table 1. Methotrexate was repeated at the end of one week because the b HCG was still elevated.Subsequently the b HCG levels consistently dropped and the patient remained asymptomatic.
After appropriate counselling of the woman, decision was taken to treat by medical method.
Received date: December 05, 2013; Accepted date: December 31, 2013; Published date: January 07, 2014 Citation: Srinivas M, Ragupathy K, Ndumbe F (2014) Dilemma in the Management of Caesarean Scar Pregnancy. doi:10.4172/2161-038X.1000125 Copyright: © 2014 Srinivas M, et al.
This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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There was no free fluid suggestive of rupture and clinically as well, she was asymptomatic with a non-tender abdomen.
The myometrial thickness at the implantation site was 1.13 cm.Transvaginal scan at the end of 5 months showed a 15 mm hyper echoic mass in anterior myometrium with no fetal pole. She received counselling about future pregnancy implications and was advised to have a planned caesarean at 37 weeks.She had a subsequent pregnancy after 18 months and had an uneventful antenatal period and was delivered by caesarean section at term.Owing to their rarity, there is no consensus on treatment regimens.The options are medical, surgical or a combination of both methods.The gestational age at diagnosis ranged from 5 weeks (mean 7.5 ± 2.5 weeks), and the time interval between the last caesarean section and the CSP was 6 months to 12 years in this series.