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C-section ectopic?

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Ezrasmama
Posts: 1
Joined: Wed Jan 19, 2022 5:50 pm

C-section ectopic?

Post by Ezrasmama »

Hello I am new to this site and just after some advice really and to know if this has happened to anyone on here.

I am extremely lucky I had a normal pregnancy with my son, that ended in an emergency caesarian.

He is now 11 months, and on the 4th January I got my BFP. Over the moon about it.

Yesterday I woke up bleeding. Dreading the worst I called triage and they booked me in to be seen the next day. Well at my appointment today, the nurses told me it LOOKS like, but they can’t say 100%, that the ‘baby’ (although showing just a yolk sac right now), has implanted itself in my caesarian scar. I am supposed to be 6 weeks but only measuring 5 weeks. I asked them what it meant but I didn’t really get much as they were trying to get the consultant to come down but she was occupied with another patient.

So they didn’t seem very hopeful that it was a viable pregnancy and have booked me in for another scan next week, I guess to see if baby has grown or somehow by some miracle moved itself into a better position.

I am so confused, upset, and worried. I don’t know whether to hold onto hope that it could be a viable pregnancy, or to start mourning the future inevitable loss.

If anyone could give me some advice that would be amazing. Google is proving pretty useless.

EPT Host 20
Posts: 3155
Joined: Thu May 31, 2012 10:58 pm

Re: C-section ectopic?

Post by EPT Host 20 »

Dear Ezrasmama,
I am so sorry to hear of the worrying time you are going through.
Less than 1% of ectopic pregnancies are located in the caesarean scar, making them quite rare, which is why you are struggling to find information.

The treatment of caesarean scar pregnancies is potentially difficult so management has to be individualised on a ‘case by case’ basis. Despite appearing to increase in incidence, they are still relatively uncommon and so some hospital see very few of them. Accordingly, there are moves to focus care in these cases to regional units with experience of these problems both to optimise care and to collate information to make sure there is a better evidence base to inform treatment decisions in the future.

We have information on our website which I have copied for you here. Please be aware that this does talk about possible treatment options which may be difficult for you to read just now. Be kind to yourself, you can always come back to read this again, if needed.

Caesarean scar pregnancy
Caesarean scar ectopic pregnancies are when the fertilised egg implants into the gap in the muscle of the uterus caused by a previous Caesarean section. The pregnancy may then grow out of the uterus or onto the cervix and cause torrential internal or vaginal bleeding.

In some pregnancies the placenta develops so that only part of it is within the scar and these pregnancies may proceed to delivery of a live baby, but with risk of significant bleeding from the mother and hysterectomy at the time of delivery.

The treatment of caesarean scar pregnancies is potentially difficult so management has to be individualised on a ‘case by case’ basis.

Most Caesarean scar pregnancies can be treated by removing the pregnancy using suction. If the pregnancy cannot be reached using suction, then keyhole surgery, or methotrexate injection/s can be used.

Research indicates that this kind of ectopic pregnancy appears to be increasing, possibly due to the impact of elective caesarean section delivery which was much less common 10 years ago than today. However, despite appearing to increase in incidence, they are still relatively uncommon and so some hospitals see very few of them, which is why specialist advice is often sought.

Sending positive thoughts for a good outcome on your next scan, but we will be here for you for as long as you need.

Sending much love,
Karen x

The Ectopic Pregnancy Trust
Registered Charity Number: 1071811
Ectopic pregnancy patient information suite: Highly Commended in the 2019 BMA Patient Information Awards
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