Management and reproductive outcomes following cesarean scar pregnancy: experiences of two tertiary centers in a cohort of 60 women

Aims: This study aims to analyze the treatment approaches and reproductive outcomes of women diagnosed with cesarean scar pregnancy (CSP). Methods: A retrospective analysis was conducted on sixty patients diagnosed with CSP between January 2020 and December 2023 at two tertiary centers with a combined total of 49,733 births during the study period. Demographic, clinical, and laboratory characteristics, complications, treatment methods, and reproductive outcomes were examined. Patients were categorized into two groups based on their treatment approach: isolated treatment (n=45, 75%) and combined treatment (n=15, 25%), and the outcomes of the two groups were compared. Results: The mean age of all patients was 34 years (±5.5) (range: 21-46). The mean gestational age at admission was 6.86 weeks (±1.82), with 35% showing positive fetal heartbeats. Complications occurred in 28.3% of cases, with hematomas being the most common (26.7%). The combined treatment group had higher rates of blood transfusions and complications, including hematomas and bladder injuries (p=0.005 and p