Document Detail


Obstetric management following fertility-sparing radical vaginal trachelectomy for cervical cancer.
MedLine Citation:
PMID:  21126113     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Radical vaginal trachelectomy now affords a fertility-sparing procedure for the treatment of early-stage cervical cancer in young women. Subsequent obstetric management within this group of women remains a challenge to the obstetrician, with risks of premature labour a continuing probability throughout pregnancy. Here we describe four cases of successful pregnancy following radical vaginal trachelectomy within our unit. The merits of early antenatal intervention, regular lower uterine segment length monitoring and use of daily progesterone pessaries are discussed, alongside the current supportive evidence. We conclude with a discussion of proposed recommendations for obstetric management of pregnancy in women post-radical vaginal trachelectomy.
Authors:
L J Knight; N Acheson; T A Kay; J N Renninson; J H Shepherd; M J O Taylor
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  30     ISSN:  1364-6893     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2010  
Date Detail:
Created Date:  2010-12-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  784-9     Citation Subset:  IM    
Affiliation:
Centre for Women's Health, Royal Devon and Exeter Hospital, Exeter, UK. lisaknight@doctors.org.uk
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