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.
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
Hyperoxygenation use not linked to neonatal outcomes
April 23rd 2024Recent research evaluated the impact of maternal hyperoxygenation on neonatal Apgar scores, revealing no significant enhancement in outcomes among women with pathologic fetal heart rate tracing and suggesting limited efficacy of hyperoxygenation therapy in this context.
Read More
The benefits of concurrent fetal and maternal heart rate monitoring
April 15th 2024A recent study revealed that employing maternal heart rate monitoring alongside fetal heart rate monitoring during labor significantly decreases the incidence of neonatal encephalopathy and severe neonatal acidemia.
Read More
How vitamin C intake in pregnant smokers impacts offspring airway function trajectory
April 12th 2024Investigating the impact of prenatal vitamin C supplementation on lung function and wheeze occurrence in offspring of pregnant smokers, revealing insights into mitigating respiratory risks.
Read More