A cesarean segment pregnancy (CSP) showed the gestational sac (GS) embedded in the past cesarean scar. The clinical appearances of CSP present a wide scope of varieties, and the ideal administration is yet to be characterized. We reflectively enlisted 109 patients with the finding of CSP from our specialization and arranged them into four evaluations dependent on the ultrasound introduction. Evaluation I CSP showed the GS inserted in under one-half thickness of the lower foremost corpus; and grade II CSP spoke to the GS stretched out to more than one-half thickness of overlying myometrium. Evaluation III CSP inferred the GS swell out of the cesarean scar; and grade IV CSP indicated that GS turned into an indistinct tumor with rich vascularity at the cesarean scar. Seventy-eight ladies got medical procedure, and the difficulty rate was 14.1% (11/78). Straight relapse examination exhibited a huge relationship between the intrusiveness of the medical procedure and their ultrasound gradings. The standard activity for grade I CSP was transcervical resection, while most of evaluation III and IV patients required hysterotomy or hysterectomy. Another 31 ladies got chemotherapy with methotrexate as their underlying treatment. The achievement rate for chemotherapy was 61.3%; the rest of the patients required further medical procedure because of tireless CSP or overwhelming seeping during or after chemotherapy. Fifteen patients (48.3%) getting chemotherapy experienced entanglements (for the most part dying). Among them, 7 (22.6%) patients experienced seeping of in excess of 1,000 mL, and 9 (29.0%) of these 31 patients required blood transfusions. Our tale ultrasound reviewing framework for CSP may assist with conveying among doctors, and decide the ideal careful system. Chemotherapy with methotrexate for CSP isn't palatable and is related with a higher pace of confusions.