Cervical conization and the risk of preterm delivery

Am J Obstet Gynecol. 2011 Jul;205(1):19-27. doi: 10.1016/j.ajog.2011.01.003. Epub 2011 Feb 23.

Abstract

The current body of literature concerning cervical conization and its effect on subsequent pregnancy outcome is conflicting. Depending on the type of conization procedure that is examined and the quality of the control group, the results and conclusions vary widely. Because treatment for cervical intraepithelial neoplasia is commonplace among women of reproductive age, it is imperative that practitioners have an understanding of the issues surrounding the treatment. Therefore, this review will summarize the published literature that addresses excisional procedures of the uterine cervix and the risk of preterm delivery in subsequent pregnancies and provide reasonable treatment recommendations for women with cervical abnormalities and a desire for future fertility.

Publication types

  • Review

MeSH terms

  • Cervix Uteri / surgery*
  • Conization / adverse effects*
  • Conization / methods
  • Electrosurgery / methods
  • Female
  • Humans
  • Laser Therapy
  • Obstetric Surgical Procedures / methods
  • Pregnancy
  • Pregnancy Complications, Neoplastic / surgery
  • Pregnancy Outcome
  • Premature Birth / etiology*
  • Risk
  • Uterine Cervical Dysplasia / surgery
  • Uterine Cervical Neoplasms / surgery