Scar Pregnancy

Scar pregnancy is a type of ectopic pregnancy (ectopic pregnancy) that occurs as a result of the implantation of the gestational sac in the cesarean scar (in place of the previous cesarean section) in the uterus (womb). In these patients, bleeding into the abdomen may occur both vaginally and ruptured from the scar line (tearing from the cesarean section incision) in the advancing weeks of pregnancy. In both cases, it can threaten the patient’s life. It is known that when this pregnancy progresses well, the placenta will adhere to the uterus and cause percreta (a type of placenta previa where the baby’s partner is highly adherent to the uterus and sticks out from the uterus up to the urinary bladder).

After the diagnosis of scar pregnancy, the patient is recommended to terminate the pregnancy due to the above-mentioned risks. Termination of pregnancy also includes risks such as heavy bleeding and loss of uterus for patients. In addition, in patients who do not want their pregnancy to be terminated, their pregnancy can be continued with close follow-up. This decision should be taken by informing the patients about possible bleeding risks, the percreta status that will occur afterward, and how the surgery can be performed.