First‐trimester diagnosis and management of pregnancies implanted into the lower uterine segment Cesarean section scar

To describe first-trimester ultrasound diagnosis and management of pregnancies implanted into uterine Cesarean section scars.

All women referred for an ultrasound scan because of suspected early pregnancy complications were screened for pregnancies implanted into a previous Cesarean section scar. The management of Cesarean section scar pregnancies included transvaginal surgical evacuation, medical treatment with local injection of 25 mg methotrexate into the exocelomic cavity and expectant management.