Pregnancy outcome after cervical conisation: a retrospective cohort study in the Leuven University Hospital

Please cite this paper as: van de Vijver A, Poppe W, Verguts J, Arbyn M. Pregnancy outcome after cervical conisation: a retrospective cohort study in the Leuven University Hospital. BJOG 2010;117:268–273. Objective  To assess pregnancy outcome after conisation. Design  Retrospective cohort study. Se...

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Veröffentlicht in:BJOG : an international journal of obstetrics and gynaecology 2010-02, Vol.117 (3), p.268-273
Hauptverfasser: van de Vijver, A, Poppe, W, Verguts, J, Arbyn, M
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container_title BJOG : an international journal of obstetrics and gynaecology
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creator van de Vijver, A
Poppe, W
Verguts, J
Arbyn, M
description Please cite this paper as: van de Vijver A, Poppe W, Verguts J, Arbyn M. Pregnancy outcome after cervical conisation: a retrospective cohort study in the Leuven University Hospital. BJOG 2010;117:268–273. Objective  To assess pregnancy outcome after conisation. Design  Retrospective cohort study. Setting  Belgium, data from a university hospital. Population  Fifty‐five pregnancies in 34 women after conisation, and 55 pregnancies in 54 women without a history of conisation or cervical intraepithelial neoplasia (CIN). Methods  Hospital data were reviewed and questionnaires were collected from 599 women who had a conisation in a 5‐year period, among whom subsequent pregnancies were identified. The control group consisted of matched pregnancies of women without a history of conisation. Main outcome measures  Gestational age at delivery, neonatal biometry, neonatal condition at birth. Results  Numbers of sexual partners (4.6 ± 3.4 SD versus 2.5 ± 2.5 SD) and ex‐smokers were significantly higher in the study group compared with the control group. Gestational age at delivery (266 ± 2 days versus 274 ± 9 days), neonatal head circumference (33.9 ± 2.5 cm, versus 34.6 ± 2.5 cm) and birthweight (3088 ± 754 g versus 3381 ± 430 g) were significantly lower in the study group compared with the control group. Numbers of preterm [
doi_str_mv 10.1111/j.1471-0528.2009.02437.x
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Pregnancy outcome after cervical conisation: a retrospective cohort study in the Leuven University Hospital. BJOG 2010;117:268–273. Objective  To assess pregnancy outcome after conisation. Design  Retrospective cohort study. Setting  Belgium, data from a university hospital. Population  Fifty‐five pregnancies in 34 women after conisation, and 55 pregnancies in 54 women without a history of conisation or cervical intraepithelial neoplasia (CIN). Methods  Hospital data were reviewed and questionnaires were collected from 599 women who had a conisation in a 5‐year period, among whom subsequent pregnancies were identified. The control group consisted of matched pregnancies of women without a history of conisation. Main outcome measures  Gestational age at delivery, neonatal biometry, neonatal condition at birth. Results  Numbers of sexual partners (4.6 ± 3.4 SD versus 2.5 ± 2.5 SD) and ex‐smokers were significantly higher in the study group compared with the control group. Gestational age at delivery (266 ± 2 days versus 274 ± 9 days), neonatal head circumference (33.9 ± 2.5 cm, versus 34.6 ± 2.5 cm) and birthweight (3088 ± 754 g versus 3381 ± 430 g) were significantly lower in the study group compared with the control group. Numbers of preterm [&lt;37 weeks; 14/55 (25%) versus 2/55 (4%); P = 0.002] and severe preterm (&lt;34 weeks; 6/55 (11%) versus 0/55 (0%); P = 0.031] deliveries in the study group were significantly higher. There were no cases of perinatal mortality. Conclusions  Conisation affects obstetrical outcome after conisation for CIN. Babies tend to be born earlier and are smaller. It is not clear whether this is related to the procedure or to factors linked with CIN.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/j.1471-0528.2009.02437.x</identifier><identifier>PMID: 19943824</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Biological and medical sciences ; Birth Weight ; Cephalometry ; Cervical intraepithelial neoplasia ; Cervical Intraepithelial Neoplasia - pathology ; Cervical Intraepithelial Neoplasia - surgery ; conisation ; Conization - adverse effects ; Female ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Head - anatomy &amp; histology ; Humans ; Infant, Newborn ; Male ; Medical sciences ; Obstetric Labor, Premature - etiology ; Pregnancy ; Pregnancy Outcome ; prematurity ; Retrospective Studies ; Sexual Behavior - statistics &amp; numerical data ; Uterine Cervical Neoplasms - pathology ; Uterine Cervical Neoplasms - surgery</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2010-02, Vol.117 (3), p.268-273</ispartof><rights>2009 The Authors Journal compilation © RCOG 2009 BJOG An International Journal of Obstetrics and Gynaecology</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4647-eeab10cff70fb44390c9b02310e72b34bc30774b48458d7712c1fb2e115dd30a3</citedby><cites>FETCH-LOGICAL-c4647-eeab10cff70fb44390c9b02310e72b34bc30774b48458d7712c1fb2e115dd30a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1471-0528.2009.02437.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1471-0528.2009.02437.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=22275191$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19943824$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van de Vijver, A</creatorcontrib><creatorcontrib>Poppe, W</creatorcontrib><creatorcontrib>Verguts, J</creatorcontrib><creatorcontrib>Arbyn, M</creatorcontrib><title>Pregnancy outcome after cervical conisation: a retrospective cohort study in the Leuven University Hospital</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Please cite this paper as: van de Vijver A, Poppe W, Verguts J, Arbyn M. Pregnancy outcome after cervical conisation: a retrospective cohort study in the Leuven University Hospital. BJOG 2010;117:268–273. Objective  To assess pregnancy outcome after conisation. Design  Retrospective cohort study. Setting  Belgium, data from a university hospital. Population  Fifty‐five pregnancies in 34 women after conisation, and 55 pregnancies in 54 women without a history of conisation or cervical intraepithelial neoplasia (CIN). Methods  Hospital data were reviewed and questionnaires were collected from 599 women who had a conisation in a 5‐year period, among whom subsequent pregnancies were identified. The control group consisted of matched pregnancies of women without a history of conisation. Main outcome measures  Gestational age at delivery, neonatal biometry, neonatal condition at birth. Results  Numbers of sexual partners (4.6 ± 3.4 SD versus 2.5 ± 2.5 SD) and ex‐smokers were significantly higher in the study group compared with the control group. Gestational age at delivery (266 ± 2 days versus 274 ± 9 days), neonatal head circumference (33.9 ± 2.5 cm, versus 34.6 ± 2.5 cm) and birthweight (3088 ± 754 g versus 3381 ± 430 g) were significantly lower in the study group compared with the control group. Numbers of preterm [&lt;37 weeks; 14/55 (25%) versus 2/55 (4%); P = 0.002] and severe preterm (&lt;34 weeks; 6/55 (11%) versus 0/55 (0%); P = 0.031] deliveries in the study group were significantly higher. There were no cases of perinatal mortality. Conclusions  Conisation affects obstetrical outcome after conisation for CIN. Babies tend to be born earlier and are smaller. It is not clear whether this is related to the procedure or to factors linked with CIN.</description><subject>Biological and medical sciences</subject><subject>Birth Weight</subject><subject>Cephalometry</subject><subject>Cervical intraepithelial neoplasia</subject><subject>Cervical Intraepithelial Neoplasia - pathology</subject><subject>Cervical Intraepithelial Neoplasia - surgery</subject><subject>conisation</subject><subject>Conization - adverse effects</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Head - anatomy &amp; histology</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Obstetric Labor, Premature - etiology</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>prematurity</subject><subject>Retrospective Studies</subject><subject>Sexual Behavior - statistics &amp; numerical data</subject><subject>Uterine Cervical Neoplasms - pathology</subject><subject>Uterine Cervical Neoplasms - surgery</subject><issn>1470-0328</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1P3DAQhq2qqFDgLyBfqp6Sjj-yTpB6AFRK0Ur0UM6W40zASzZZbGdL_j0Ou6LX-jIjzfPanocQyiBn6Xxb5UwqlkHBy5wDVDlwKVT-8oEcvQ8-vvWQgeDlIfkcwgqALTiIT-SQVZUUJZdH5Om3x4fe9HaiwxjtsEZq2oieWvRbZ01H7dC7YKIb-nNqqMfoh7BBG90W0-xx8JGGODYTdT2Nj0iXOG6xp_d9AnxwcaI3KeCi6U7IQWu6gKf7ekzur3_8ubrJlnc_f11dLDMrF1JliKZmYNtWQVtLKSqwVQ1cMEDFayFrK0ApWctSFmWjFOOWtTVHxoqmEWDEMfm6u3fjh-cRQ9RrFyx2nelxGINWQixkwRRPZLkjbVoqeGz1xru18ZNmoGfTeqVnoXoWqmfT-s20fknRs_0jY73G5l9wrzYBX_aACclj65NkF945zrkqWMUS933H_XUdTv_9AX15ezd34hXBKprk</recordid><startdate>201002</startdate><enddate>201002</enddate><creator>van de Vijver, A</creator><creator>Poppe, W</creator><creator>Verguts, J</creator><creator>Arbyn, M</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201002</creationdate><title>Pregnancy outcome after cervical conisation: a retrospective cohort study in the Leuven University Hospital</title><author>van de Vijver, A ; Poppe, W ; Verguts, J ; Arbyn, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4647-eeab10cff70fb44390c9b02310e72b34bc30774b48458d7712c1fb2e115dd30a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Biological and medical sciences</topic><topic>Birth Weight</topic><topic>Cephalometry</topic><topic>Cervical intraepithelial neoplasia</topic><topic>Cervical Intraepithelial Neoplasia - pathology</topic><topic>Cervical Intraepithelial Neoplasia - surgery</topic><topic>conisation</topic><topic>Conization - adverse effects</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Head - anatomy &amp; histology</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Obstetric Labor, Premature - etiology</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>prematurity</topic><topic>Retrospective Studies</topic><topic>Sexual Behavior - statistics &amp; numerical data</topic><topic>Uterine Cervical Neoplasms - pathology</topic><topic>Uterine Cervical Neoplasms - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van de Vijver, A</creatorcontrib><creatorcontrib>Poppe, W</creatorcontrib><creatorcontrib>Verguts, J</creatorcontrib><creatorcontrib>Arbyn, M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van de Vijver, A</au><au>Poppe, W</au><au>Verguts, J</au><au>Arbyn, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pregnancy outcome after cervical conisation: a retrospective cohort study in the Leuven University Hospital</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2010-02</date><risdate>2010</risdate><volume>117</volume><issue>3</issue><spage>268</spage><epage>273</epage><pages>268-273</pages><issn>1470-0328</issn><eissn>1471-0528</eissn><abstract>Please cite this paper as: van de Vijver A, Poppe W, Verguts J, Arbyn M. Pregnancy outcome after cervical conisation: a retrospective cohort study in the Leuven University Hospital. BJOG 2010;117:268–273. Objective  To assess pregnancy outcome after conisation. Design  Retrospective cohort study. Setting  Belgium, data from a university hospital. Population  Fifty‐five pregnancies in 34 women after conisation, and 55 pregnancies in 54 women without a history of conisation or cervical intraepithelial neoplasia (CIN). Methods  Hospital data were reviewed and questionnaires were collected from 599 women who had a conisation in a 5‐year period, among whom subsequent pregnancies were identified. The control group consisted of matched pregnancies of women without a history of conisation. Main outcome measures  Gestational age at delivery, neonatal biometry, neonatal condition at birth. Results  Numbers of sexual partners (4.6 ± 3.4 SD versus 2.5 ± 2.5 SD) and ex‐smokers were significantly higher in the study group compared with the control group. Gestational age at delivery (266 ± 2 days versus 274 ± 9 days), neonatal head circumference (33.9 ± 2.5 cm, versus 34.6 ± 2.5 cm) and birthweight (3088 ± 754 g versus 3381 ± 430 g) were significantly lower in the study group compared with the control group. Numbers of preterm [&lt;37 weeks; 14/55 (25%) versus 2/55 (4%); P = 0.002] and severe preterm (&lt;34 weeks; 6/55 (11%) versus 0/55 (0%); P = 0.031] deliveries in the study group were significantly higher. There were no cases of perinatal mortality. Conclusions  Conisation affects obstetrical outcome after conisation for CIN. Babies tend to be born earlier and are smaller. It is not clear whether this is related to the procedure or to factors linked with CIN.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19943824</pmid><doi>10.1111/j.1471-0528.2009.02437.x</doi><tpages>6</tpages></addata></record>
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subjects Biological and medical sciences
Birth Weight
Cephalometry
Cervical intraepithelial neoplasia
Cervical Intraepithelial Neoplasia - pathology
Cervical Intraepithelial Neoplasia - surgery
conisation
Conization - adverse effects
Female
Gestational Age
Gynecology. Andrology. Obstetrics
Head - anatomy & histology
Humans
Infant, Newborn
Male
Medical sciences
Obstetric Labor, Premature - etiology
Pregnancy
Pregnancy Outcome
prematurity
Retrospective Studies
Sexual Behavior - statistics & numerical data
Uterine Cervical Neoplasms - pathology
Uterine Cervical Neoplasms - surgery
title Pregnancy outcome after cervical conisation: a retrospective cohort study in the Leuven University Hospital
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