Pregnancy implanted in the scar of caesarean section and the role of the general practitioner

• Main Authors: Ana Maria Alexandra Stănescu, Ioana Veronica Grăjdeanu, Gabriel Cristian Bejan, Liviu Nicolae Ghilencea, Mihaela Adela Iancu, Anca Angela Simionescu
• Format: Article
• Language: English
• Published: Amaltea Medical Publishing House 2021-06-01
• Series: Romanian Medical Journal
• Subjects: scar pregnancy; general practitioner; family doctor; cesarean section complications
• Online Access: https://rmj.com.ro/articles/2021.2/RMJ_2021_2_Art-08.pdf

The increase in the number of cesarean sections led to severe complications, such as the ectopic scar pregnancy and the morbidly adherent placenta. The incidence of scar pregnancy is 1/2000 of pregnancies, the more frequently associated with the higher the number of cesarean sections. These can cause severe bleeding, rupture of the uterus, bladder or digestive injury or maternal mortality. The general practitioner has an important role in the diagnosis and monitoring of these patients. He knows the patient's history, is asked in permanent by it and sometimes is in the situation of being the only one checking pregnancy. This work aims to review the diagnostic and monitoring criteria for ectopic scar pregnancy helpful to family physicians. Addressing all patients with a scarred uterus for early screening ultrasound may increase the rate of diagnosis. The family doctor is an essential partnership in monitoring these high risk cases.