Suction Curettage and Foley Balloon as a First-Line Treatment Option for Caesarean Scar Pregnancy and Reproductive Outcomes

Figures & data

Figure 1 Transvaginal ultrasound showing cesarean scar pregnancy. *Empty endometrium with empty, closed cervix.

Abbreviations: GS, gestational sac located in previous scar; CX, cervix.

Table 1 Patient and Procedure Characteristics

	(Mean± SD)	Minimum	Maximum
Age (years)	32.04±4.9	22	43
Gravida	3.9±1.3	2	7
Gestational weeks	6.6 ± 0.95	5	9+4
Initial β-hCG level (IU/L)	20,311.14	242	140,842
Prior cesarean sections	1.9±0.84	0	4
Hemoglobin before surgery (g/L)	12.03±1.26	8.9	14
Hospital stay (days)	2.7±1.5	1	8
Foley balloon inflation volume (mL)	31.66±11.02	10	50

Table 2 Reproductive Outcomes in Women with a Previous Cesarean Scar Pregnancy

Reproductive Outcome	Results
Pregnancy rate	12/18 (66.66%)
Secondary infertility rate	6/18 (33.33%)
Live birth rate	8/12 (66.66%)
1. Trimester abortus rate	4/12 (33.33%)
Recurrent cesarean scar pregnancy (CSP) rate	1/12 (8.3%)
Cesarean section rate	8/8 (100%)
Abnormal placental invasion rate	0/8
Tubal ectopic rate	1/12 (8.33%)

Figure 2 Flowchart of follow-up data for 42 women with cesarean scar pregnancies.