{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T05:55:03Z","timestamp":1781502903749,"version":"3.54.1"},"reference-count":30,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The present study aimed to examine the knowledge and attitudes of post-cesarean section women toward cesarean scar pregnancy (CSP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The present cross-sectional study examined women who had undergone cesarean section in two Fujian hospitals from November 20, 2023, to December 30, 2023. Sociodemographic data and knowledge and attitude scores were obtained utilizing a self-designed questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The 325 patients enrolled were aged 31.87\u202f\u00b1\u202f4.21\u202fyears. Their knowledge and attitude scores were 11.14\u202f\u00b1\u202f4.34 (range: 0 to 20) and 49.88\u202f\u00b1\u202f5.79 (range: 12 to 60), respectively. In multivariable logistic regression analysis, junior college\/bachelor\u2019s degree (OR\u202f=\u202f4.742, 95%CI: 1.399\u201316.069;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.012) and Master\u2019s degree and beyond (OR\u202f=\u202f9.981, 95%CI: 2.251\u201344.255;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.002) had independent associations with good knowledge. Additionally, high school\/vocational high school education (OR\u202f=\u202f3.534, 95%CI: 1.224\u201310.198;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.020) and junior college\/bachelor\u2019s degree (OR\u202f=\u202f12.352, 95%CI: 4.373\u201334.887;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001) had independent associations with a positive attitude.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Post-cesarean section women may show inadequate knowledge and positive attitude toward CSP. Health professionals should provide tailored educational activities to improve awareness, particularly for women with low education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1758292","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T05:33:10Z","timestamp":1781501590000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge and attitudes toward cesarean scar pregnancy among post-cesarean section women"],"prefix":"10.3389","volume":"14","author":[{"given":"Qionglan","family":"Li","sequence":"first","affiliation":[{"name":"Department of Obstetrics 5, Fujian Maternal and Child Health Hospital","place":["Fuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuxia","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics 2, Fujian Maternal and Child Health Hospital","place":["Fuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics 2, Fujian Maternal and Child Health Hospital","place":["Fuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingyuan","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics 5, Fujian Maternal and Child Health Hospital","place":["Fuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanyuan","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics 5, Fujian Maternal and Child Health Hospital","place":["Fuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nanxiu","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics 5, Fujian Maternal and Child Health Hospital","place":["Fuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"44.e1","DOI":"10.1016\/j.ajog.2012.04.018","article-title":"The diagnosis, treatment, and follow-up of cesarean scar pregnancy","volume":"207","author":"Timor-Tritsch","year":"2012","journal-title":"Am J Obstet Gynecol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"362","DOI":"10.3390\/medicina57040362","article-title":"Cesarean scar ectopic pregnancy-case series: treatment decision algorithm and success with medical treatment","volume":"57","author":"Morente","year":"2021","journal-title":"Medicina (Kaunas)"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"hoaa055","DOI":"10.1093\/hropen\/hoaa055","article-title":"Terminology for describing normally sited and ectopic pregnancies on ultrasound: ESHRE recommendations for good practice","volume":"2020","author":"Kirk","year":"2020","journal-title":"Hum Reprod Open"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"915","DOI":"10.1016\/j.jmig.2017.05.019","article-title":"Cesarean scar pregnancies: a systematic review of treatment options","volume":"24","author":"Maheux-Lacroix","year":"2017","journal-title":"J Minim Invasive Gynecol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1975","DOI":"10.1002\/jum.15574","article-title":"Diagnosis and management of cesarean scar pregnancy and placenta accreta spectrum: case series and review of the literature","volume":"40","author":"Panaitescu","year":"2021","journal-title":"J Ultrasound Med"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1016\/j.ajog.2012.03.007","article-title":"Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. 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study","volume":"14","author":"Paralikar","year":"2022","journal-title":"Cureus"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"669.e1","DOI":"10.1016\/j.ajog.2023.10.028","article-title":"First-trimester cesarean scar pregnancy: a comparative analysis of treatment options from the international registry","volume":"230","author":"Kaelin Agten","year":"2024","journal-title":"Am J Obstet Gynecol"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"e1050","DOI":"10.1002\/hsr2.1050","article-title":"Evaluation of decision to delivery interval and its effect on feto-maternal outcomes in category-I emergency cesarean section deliveries in Phuentsholing general hospital, 2020: a retrospective cross-sectional study","volume":"6","author":"Dorjey","year":"2023","journal-title":"Health Sci Rep"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"76","DOI":"10.5334\/aogh.3834","article-title":"Implementing a mHealth-based patient and nurse educational program to reduce wound infection in rural Philippines","volume":"88","author":"Henarejos","year":"2022","journal-title":"Ann Glob Health"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"282","DOI":"10.5152\/tjar.2019.95770.Epub2019Aug","article-title":"Preoperative fasting times for patients undergoing caesarean delivery: before and after a patient educational initiative","volume":"47","author":"Yurashevich","year":"2019","journal-title":"Turk J Anaesthesiol Reanim"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1186\/s12884-023-05584-8","article-title":"Subsequent fertility after cesarean scar pregnancy: a retrospective analysis","volume":"23","author":"Jin","year":"2023","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1111\/hex.13358","article-title":"Patients as team members: factors affecting involvement in treatment decisions from the perspective of patients with a chronic condition","volume":"25","author":"Buljac-Samardzic","year":"2022","journal-title":"Health Expect"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"e12","DOI":"10.2196\/cardio.8903","article-title":"Exploring health information-seeking preferences of older adults with hypertension: quasi-experimental design","volume":"2","author":"Sak","year":"2018","journal-title":"JMIR Cardio"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"83","DOI":"10.4274\/jtgga.galenos.2022.2021-9-11","article-title":"Partial mole with coexistent live fetus: a systematic review of case reports","volume":"23","author":"Mangla","year":"2022","journal-title":"J Turk Ger Gynecol Assoc"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"1923","DOI":"10.3390\/cells11121923","article-title":"Stem cell-based trophoblast models to unravel the genetic causes of human 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