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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, Marc J.N.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Ogata, Edward / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland


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Cervical surgery and preterm birth

Lynn Sadler1 / Audrey Saftlas2

1.

2.

Corresponding author: Dr. Lynn Sadler Department of Epidemiology and Biostatistics Faculty of Medicine and Health Sciences University of Auckland PO Box 92 019, Auckland, New Zealand Tel.: +64 9 3737599 Fax: +64 9 5295431

Citation Information: Journal of Perinatal Medicine. Volume 35, Issue 1, Pages 5–9, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: 10.1515/JPM.2007.001, February 2007

Publication History

Received:
December 1, 2006
Accepted:
December 18, 2006
Published Online:
2007-02-21

Abstract

Treatment of cervical intraepithelial neoplasia (CIN) greatly reduces the risk of cervical cancer. Treatment involves ablation or excision of the transformation zone of the cervix, most commonly using an electrosurgical excision technique known as LLETZ. However, the peak incidence of CIN occurs in young women, so if excision of a portion of the cervix has an adverse effect on pregnancy outcome, this might have a significant impact. This review discusses the methodology and findings of the published literature on the association between cervical treatment and preterm birth, and the clinical implications of these findings.

Keywords: Cervical dysplasia; cervical intraepithelial neoplasia (CIN); cervical treatment; cold knife conization; laser ablation; laser conization; LEEP; LLETZ; preterm birth; preterm premature rupture of membranes (pPROM).

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