Multi Dose Regimen of Injection Methotrexate for Management of Early Cessarean Scar Ectopic Pregnancy-Conservative Approach

Cesarean scar pregnancy (CSP) is a rare type of ectopic pregnancy in which gestational sac is implanted in myometrium of previous cesarean scar. Several management options are available including surgical and medical. Conservative approach by giving multiple injections of methotrexate alternative with folinic acid can resolve early cesarean scar pregnancy thus preserving fertility and postoperative morbidity. Serial beta HCG monitoring is done to confirm the resolution.