caa a22 4500 445363606 CHVBK 20180317142922.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10397-010-0622-z doi (NATIONALLICENCE)springer-10.1007/s10397-010-0622-z Survey: the management of pregnant women with a history of excisional treatment of the uterine cervix for cervical intra-epithelial neoplasia [Elektronische Daten] [Faisal Basama, Periti Angala] The purpose of this study is to gauge the management of pregnant women with a past history of cervical excisional treatments for cervical intra-epithelial neoplasia (CIN). A postal survey of 120 consultant obstetricians and gynaecologists in the northwest of England was done. The response rate was 41.7%. Thirty-seven respondents (74%) agreed with the evidence that cervical excisional treatment increases the risk of late miscarriage, preterm labour, premature rupture of the membranes and spontaneous rupture of the membranes at term. Thirty-one (62%) think that cervical assessment during pregnancy in women who had excisional treatments is not essential, nevertheless, 72% of the respondents utilise transvaginal ultrasonography alone or in combination with other methods to assess the cervix in these women. Seventeen (34%) assess the cervix monthly and nineteen (38%) carry out variable assessments ranging between once in the first trimester and every 6-8weeks. Thirty-one (62%) offer cervical cerclage and 28 (56%) will offer it between 13-16weeks gestation. Twenty-four (48%) would offer preconception transabdominal cervical cerclage to at-risk women. Forty (80%) do not believe that previous excisional treatment will alter the vaginal flora and only eight (16%) perform high vaginal swabs. There is a lack of consensus and consistency in the cervical assessment for the prediction of the risk of preterm birth in women who had cervical excisional treatments for CIN. Transvaginal ultrasonography alone or in combination with other methods is the most favoured technique in cervical assessment. The majority of the respondents offer cervical cerclage. In the presence of evidence that cervical excisional treatment for CIN carries a real risk of pregnancy loss and morbidity, there is a need for an agreed and standardised strategy in cervical assessment and intervention techniques. Springer-Verlag, 2010 Cervical excisional treatments nationallicence Uterine cervix nationallicence Cervical intra-epithelial neoplasia nationallicence LLETZ nationallicence Cone biopsy nationallicence Late miscarriage nationallicence Preterm labour nationallicence Cervical cerclage nationallicence Basama Faisal Department of Obstetrics and Gynaecology, Royal Lancaster Infirmary, Ashton Road, LA1 4RP, Lancaster, Lancashire, UK aut Angala Periti Royal Preston Hospital, Sharoe Green Lane, PR2 9HT, Preston, UK aut Gynecological Surgery Springer-Verlag 8/1(2011-02-01), 79-84 1613-2076 8:1<79 2011 8 10397 https://doi.org/10.1007/s10397-010-0622-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10397-010-0622-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Basama Faisal Department of Obstetrics and Gynaecology, Royal Lancaster Infirmary, Ashton Road, LA1 4RP, Lancaster, Lancashire, UK aut NATIONALLICENCE 700 1- Angala Periti Royal Preston Hospital, Sharoe Green Lane, PR2 9HT, Preston, UK aut NATIONALLICENCE 773 0- Gynecological Surgery Springer-Verlag 8/1(2011-02-01), 79-84 1613-2076 8:1<79 2011 8 10397 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer