Post-Cesarean delivery niche: treatment & prevention of CSP

Supplement your learning for ISUOG's education course on CSP.

Learning Objectives:

This course is aimed at the ob/gyn practitioners who receive, evaluate and decide about the panned route of delivery amidst the sometimes challenging clinical and legal pressures.
The attendees will improve their knowledge about the generation, the anatomy and the clinical fallout of the post-Cesarean delivery niches.
Become familiar with the “post-Cesarean delivery syndrome” to be able to relate to them and make efforts to diminish their numbers and even prevent them
Hear more about the present efforts to prevent the formation of post-Cesarean delivery niches as the cause of many disorders such as uterine rupture, cesratean scar pregnancy , intermenstrual bleeding etc.
Realize that caesarean scar pregnancy is part of the placenta accreta spectrum and it is a precursor of it that couldbe diagnosed in the first trimester by actively screening for it
Follow and draw conclusions of the debates concerning the subject of preventing the formation of Cesarean delivery niches and their clinical consequences

Explore the topic before you attend our course:

In order to make the most of this learning experience and help you achieve your learning objectives, we have prepared a path to guide you from the essentials to our course’s topics through ISUOG resources. The material below, will take you from the most basics to a more comprehensive view of [COURSE TOPIC], some open to everyone and some available only to ISUOG members –some may even grant you CME points:
Some of these activities are exclusively available to our members. Become a member today.

VISUOG

Cesarean Scar Pregnancy

Cesarean scar pregnancy (CSP) is an abnormal implantation of the gestational sac in the area of the prior caesarean delivery (CD) scar, potentially leading to life-threatening complications, including severe haemorrhage, uterine rupture and development of placenta accreta spectrum (PAS) disorders.

Cervico-isthmic Pregnancy

A cervico-isthmic pregnancy is a rare condition defined by implantation of the gestational sac between the anatomical and histological internal os. Unlike true cervical pregnancies, it has the ability to develop beyond the second trimester.

Intramural Ectopic Pregnancy

Intramural ectopic pregnancy refers to an abnormal implantation of a pregnancy within the myometrium. A gestational sac extending beyond the endometrial-myometrial junction is the defining feature. Intramural ectopic pregnancies should be subdivided into partial and complete. Ultrasound is the first-hand diagnostic tool.

Placenta Accreta Spectrum Disorders: Abnormally Adherent and Invasive Placenta

The placenta accreta spectrum disorders include both abnormally adherent and invasive placenta. Targeted screening is essential for these disorders due to the association between low-lying or previa placenta and previous cesarean delivery. Prenatal diagnosis is possible by ultrasound.

UOG videos

UOG videoclip: Placenta accreta spectrum conservative management and coagulopathy: case series and systematic review

UOG videoclip: Separation sign: novel ultrasound sign for ruling out diagnosis of placenta accreta spectrum

UOG video abstract: Lower uterine segment scar assessment at 11–14 weeks’ gestation to screen for placenta accreta spectrum in women with prior Cesarean delivery

UOG videoclip: Successful myometrial closure over protruding Cesarean scar pregnancy

Patient Information

Cesarean scar pregnancy

This leaflet is to help you understand more about Cesarean scar pregnancy.

Cervico-isthmic pregnancy (CIP)

This leaflet is to help you understand what Cervico-isthmic pregnancy (CIP) is, what tests you need, and the implication of being diagnosed for you and your baby.

Intramural Ectopic Pregnancy

This leaflet is to help you understand what Intramural Ectopic Pregnancy is, what tests you need and the implication of being diagnosed for you, your baby and your family.

Placenta Accreta Spectrum Disorder

This leaflet is to help you understand what Placenta Accreta Spectrum Disorder is, what tests you need and the implication of being diagnosed with Placenta Accreta Spectrum Disorders for your baby and your family.