It seems laser conization is associated with a slightly lower riskof adverse pregnancy outcomes than cold knife conization or largeloop excision of the transformation zone (LLETZ), and laserablation entails the lowest risk of all-findings that couldprove very important to the many women of reproductive agereceiving treatment for intraepithelial or early invasive cervicallesions.
It seems laser conization is associated with a slightly lower risk of adverse pregnancy outcomes than cold knife conization or large loop excision of the transformation zone (LLETZ), and laser ablation entails the lowest risk of all-findings that could prove very important to the many women of reproductive age receiving treatment for intraepithelial or early invasive cervical lesions.
In a recent review and meta-analysis of 27 published studies, researchers found that cold knife conization was significantly associated with delivery at less than 37 weeks (RR 2.59), birthweight less than 2,500 g (RR 2.53), and cesarean section (RR 3.17). Similarly, LLETZ was significantly associated with the first two conditions and premature rupture of membranes (RR 1.70, 1.82, and 2.69, respectively).
Laser conization was marginally and non-significantly associated with only preterm delivery (RR 1.71), and laser ablation wasn't significantly associated with an increased risk for any of the obstetric outcomes reviewed. However, the analysis revealed statistically nonsignificant adverse trends for neonatal ICU admission and perinatal mortality.
Unlocking HPV prevention: Insights from 2022 data on vaccination trends
May 14th 2024Explore the latest findings revealing vaccination rates among children aged 9 to 17 years, uncovering demographic disparities and highlighting the crucial role of vaccination in combating human papillomavirus infections and related health risks.
Read More
Prenatal cannabis and nicotine use linked to adverse pregnancy outcomes
May 14th 2024A recent study highlights the heightened risks of maternal and neonatal morbidity and mortality associated with combined cannabis and nicotine use during pregnancy, urging further investigation into their impact on short- and long-term outcomes.
Read More
Understanding pediatric STIs: Trends, management, and more
May 10th 2024Dive into the rising prevalence of sexually transmitted infections among adolescents and young adults, exploring educational gaps, vaccination rates, and the imperative need for open conversations between patients and health care providers to combat stigma and enhance preventive care.
Read More
No link found between antenatal corticosteroids and child neurodevelopment
April 25th 2024A recent study found no link between antenatal corticosteroid administration and adverse neurodevelopmental outcomes in children aged 6 years or older, offering reassurance for late preterm delivery practices.
Read More