Caesarean scar ectopic pregnancy is a rare complication in which the embryo latches onto the remainder of scar tissues from a previous C-Section, failing to attach to the wall of the uterus. According to the best pregnancy specialist in Newtown Kolkata, the scar tissue being feeble can tear and result in haemorrhage. Consequently, the placenta will grow in all the wrong places, resulting in bleeding and, thereby, potentially causing damage to the surrounding organs or the death of the pregnant patient.
In most cases, the CSEP pregnancy does not lead to conception since the embryo does not show a heartbeat and hence, must be medically or surgically removed.
The consequences of a CSEP
As mentioned earlier, in most cases, the CSEP does not lead to a heartbeat for the newborn; however, even when the embryo shows a heartbeat, the pregnant patient has to take a difficult decision: she can either choose to end the pregnancy and avoid any further fatal complications. However, if she chooses to see through the pregnancy till the end, a consultation with the best pregnancy specialist in Kolkata is crucial. The set of complications endangered by the condition includes:
- Preterm delivery
- Ruptured uterus
- Placenta accrete (Placenta growing too deeply into the uterine wall)
- Placenta percreta (Placenta growing through the uterus, attaching to nearby organs such as the bladder or bowel)
When conducting a caesarean delivery, the physician usually detects the conditions through a bunch of signs, like:
- Absence of fetal cardiac activity
- Empty uterus or cervix
- Embedded placenta and amniotic sac in the C-section scar tissue
- Rich blood vessels and blood flow within the scar tissue
- A thin or absent layer of tissue between the amniotic sac and bladder
- The triangular or oval amniotic sac, indicating it is embedded into the usual space of the scar tissue
Though the presence of one or several of these criteria does not necessarily indicate a CSEP. And imaging, too, can sometimes be inconclusive in diagnosing or detecting the condition. However, with practical intuition and experience, the best pregnancy specialist in Newtown, Kolkata, can detect the presence of the condition and take the necessary measures.
Treatment options to remove a CSEP
There are several treatment options available for CSEP, depending on the choice of the patient and the nuances of the condition. Let’s take a cursory glance at them:
Firstly, there is the least invasive treatment to end a CSEP: in which an injection of medication is administered into the amniotic sac to stop the embryonic cardiac activity. Thereby, the pregnancy specialist keeps a watchful observation until a miscarriage ensues.
Rarely it becomes possible for patients with CSEP to keep their uterus. Hence, a hysterectomy is performed during the C-section.
Patients, who have deeply implanted CSEPs, may need ultrasound-guided surgery to extract embryonic tissue through the vagina. Moreover, laparoscopic surgery to remove the embryo and scar tissues is recommended for patients who want to get pregnant in the future. In this procedure, the surgeon usually surgically adjusts the scar tissue to create a smoother surface that can support future implantation in the area.
Prior caesarean delivery poses some risks of caesarean scar ectopic pregnancy in your upcoming pregnancy. So contact a high-risk pregnancy specialist today and submit yourself under their care.