Imperial College London
Alternate

Professor Tom Bourne

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Chair in Gynaecology
 
 
 
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Contact

 

+44 (0)20 3313 5131t.bourne Website

 
 
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Location

 

Early pregnancy and acute gynaecologyInstitute of Reproductive and Developmental BiologyHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Harb:2018:10.1111/1471-0528.15255,
author = {Harb, HM and Knight, M and Bottomley, C and Overton, C and Tobias, A and Gallos, ID and Shehmar, M and Farquharson, R and Horne, A and Latthe, P and Edi-Osagie, E and MacLean, M and Marston, E and Zamora, J and Dawood, F and Small, R and Ross, J and Bourne, T and Coomarasamy, A and Jurkovic, D},
doi = {10.1111/1471-0528.15255},
journal = {BJOG: An International Journal of Obstetrics and Gynaecology},
pages = {1663--1670},
title = {Caesarean scar pregnancy in the UK: a national cohort study.},
url = {http://dx.doi.org/10.1111/1471-0528.15255},
volume = {125},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - OBJECTIVE: To estimate the incidence of caesarean scar pregnancy (CSP) and to describe the management outcomes associated with this condition DESIGN: A national cohort study using the UK Early Pregnancy Surveillance Service (UKEPSS). SETTING: 86 participating Early Pregnancy Units. POPULATION: All women diagnosed in the participating units with CSP between November 2013 and January 2015. METHODS: COHORT STUDY OF WOMEN IDENTIFIED THROUGH THE UKEPSS MONTHLY MAILING SYSTEM: MAIN OUTCOME MEASURES: Incidence, clinical outcomes and complications. RESULTS: 102 cases of CSP were reported, with an estimated incidence of 1.5 per 10,000 (95% CI 1.1 - 1.9) maternities. Full outcome data were available for 92 women. Management was expectant in 21/92 (23%), medical in 15/92 (16%), and surgical in 56/92 (61%). The success rates of expectant, medical, and surgical management were 43% (9/21), 46% (7/15) and 96% (54/56) respectively. The complication rates were 15/21 (71%) with expectant, 9/15 (60%) with medical and 20/56 (36%) with surgical management. Discharge from care (median number of days) was 82 (range 37-174) with expectant, 21 (range 10-31) with medical, and 11 (range 4-49) with surgical management. CONCLUSIONS: Surgical management appears to be associated with a high success rate, low complication rate and short post-treatment follow up. This article is protected by copyright. All rights reserved.
AU  - Harb,HM
AU  - Knight,M
AU  - Bottomley,C
AU  - Overton,C
AU  - Tobias,A
AU  - Gallos,ID
AU  - Shehmar,M
AU  - Farquharson,R
AU  - Horne,A
AU  - Latthe,P
AU  - Edi-Osagie,E
AU  - MacLean,M
AU  - Marston,E
AU  - Zamora,J
AU  - Dawood,F
AU  - Small,R
AU  - Ross,J
AU  - Bourne,T
AU  - Coomarasamy,A
AU  - Jurkovic,D
DO  - 10.1111/1471-0528.15255
EP  - 1670
PY  - 2018///
SN  - 1470-0328
SP  - 1663
TI  - Caesarean scar pregnancy in the UK: a national cohort study.
T2  - BJOG: An International Journal of Obstetrics and Gynaecology
UR  - http://dx.doi.org/10.1111/1471-0528.15255
UR  - https://www.ncbi.nlm.nih.gov/pubmed/29697890
UR  - https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.15255
UR  - http://hdl.handle.net/10044/1/59815
VL  - 125
ER  -
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