Rare pregnancy complication treated

A 27-year-old woman who suffered persistent bleeding for over a month after being diagnosed with an incomplete miscarriage was found to have one of the rarest pregnancy complications. Doctors at BirthRight by Rainbow Hospital, Financial District, performed life-saving surgery while preserving her uterus and future fertility.

The woman had undergone a dilatation and evacuation (D&E) procedure at another hospital after an ultrasound during her six-week pregnancy suggested an incomplete miscarriage. Despite repeated consultations over the next month, the bleeding continued.

At BirthRight, doctors found her severely anaemic from prolonged blood loss. Consultant Obstetrician and Gynaecologist Dr. Manasa Badveli detected a highly vascular mass at the site of her previous Caesarean scar. An MRI confirmed a chronic Caesarean Scar Ectopic Pregnancy, a condition in which the pregnancy implants in a Caesarean scar instead of the uterine cavity. The hospital said the condition occurs in about one in 100,000 women, while the chronic form is even rarer.

A multidisciplinary team removed the ectopic pregnancy through minimally invasive laparoscopic surgery and reconstructed the Caesarean scar using a two-layer uterine repair technique. The patient also received blood transfusions.

Dr. Badveli said earlier diagnosis could have avoided surgery and urged women with persistent bleeding after miscarriage, especially those with previous Caesarean deliveries, to seek specialist evaluation or a second opinion.

Dr. Manasa Badveli

Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon, Robotic Surgeon BirthRight by Rainbow