Predictability of Hematological Parameters in the Diagnosis of Cesarean Scar Pregnancy

Abstract Introduction Cesarean scar pregnancy (CSP) is an increasing clinical condition that causes serious maternal morbidity and mortality. This study aimed to evaluate if inflammation markers measured by hemogram can aid in the diagnosis of CSP. Materials Methods A total 86 patients were included study. The cases divided as CSP (n: 42) normal (NP) 44). At time admission, peripheral blood neutrophils, lymphocytes, monocytes, thrombocytes, systemic inflammatory index (SII) (neutrophil × platelet/lymphocyte), neutrophil–lymphocyte ratio, monocyte–lymphocyte platelet–lymphocyte ratio all measured. NP diagnoses made transabdominal or vaginal ultrasonography. Results In group, mean age (p < 0.001), gravida parity number surviving children abortions cesarean .001), dilatation curettage count = 0.013), monocyte (M) value 0.039) monocyte/lymphocyte (MLR) 0.035) significantly higher than control group. optimal M cut-off was found be > 0.40, sensitivity 78.57, specificity 50.00. AUC 0.632 (SE 0.061) for MLR value. 0.232, 61.90, 63.64. Conclusion Hemogram parameters, which are simple, inexpensive, easily accessible, used auxiliary parameter