Pregnancy Outcomes after Conservative Treatment of Cervical Intraepithelial Lesions: Cold Knife Conization and Loop Electrosurgical Procedure / 대한주산의학회잡지
Korean Journal of Perinatology
;
: 273-281, 2010.
Article
in English
| WPRIM
| ID: wpr-20896
ABSTRACT
OBJECTIVE:
In this study, we evaluated whether different methods of conization of the cervix were associated with an increased risk of adverse pregnancy outcomes in subsequent pregnancy.METHODS:
A retrospective case-control study was conducted. The study group included women who had undergone cold knife conization (n=170) or a loop electrosurgical excision procedure (LEEP) (n=86) and then had subsequent singleton pregnancies. The control group (n=497) included women with no history of cervical surgery. The outcomes were spontaneous preterm delivery and various neonatal outcomes such as low birth weight (LBW) and perinatal mortality.RESULTS:
Cold knife conization was associated with a significantly increased risk of preterm delivery less than 34 weeks (relative risk 4.9, 95% confidence interval 1.6-15.1), preterm delivery less than 28 weeks (7.6, 15-39.6), LBW (2.6, 1.2-5.8), and perinatal mortality (11.9, 1.3-107.6). LEEP was not associated with a increased risk of adverse pregnancy outcomes.CONCLUSION:
Cold knife cone biopsy, but not LEEP of the cervix, is associated with an increased risk of preterm delivery less than 34 weeks of gestation and adverse neonatal outcomes. Clinicians counsel women appropriately before conservative treatment of cervical intraepithelial lesions.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Biopsy
/
Infant, Low Birth Weight
/
Pregnancy Outcome
/
Case-Control Studies
/
Cervix Uteri
/
Retrospective Studies
/
Cold Temperature
/
Conization
/
Premature Birth
/
Perinatal Mortality
Type of study:
Etiology study
/
Observational study
/
Risk factors
Limits:
Female
/
Humans
/
Infant, Newborn
/
Pregnancy
Language:
English
Journal:
Korean Journal of Perinatology
Year:
2010
Type:
Article
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