Effect of preconceptional cervical electroconizationon the course of pregnancy and childbirth
- Authors: Rosyuk E.A.1, Oboskalova T.A.1, Emelyanova E.S.1, Butorina N.V.1, Emelyanova T.G.2, Glukhov E.Y.1,3, Neff E.I.3, Yakushev A.M.1
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Affiliations:
- Ural State Medical University, Ministry of Health of the Russian Federation
- Central City Clinical Hospital No. 6
- Gynecological Center "Women's Clinic"
- Issue: No 6 (2024)
- Pages: 105-112
- Section: Original Articles
- URL: https://journals.rcsi.science/0300-9092/article/view/260551
- DOI: https://doi.org/10.18565/aig.2024.23
- ID: 260551
Cite item
Abstract
Objective: This study aimed to investigate the impact of preconceptional cervical electroconization on the course of pregnancy and childbirth.
Materials and methods: This study compared the pregnancy course and birth outcomes of women who underwent preconceptional electroconization (n=50) with those without cervical pathology (n=48). Statistical analysis was performed using descriptive statistics in an Excel spreadsheet, and comparative analysis was conducted using Fisher's exact test.
Results: Among the pregnant women with a history of cervical electroconization, 34% had cardiovascular disease, 32% had gastrointestinal disease, 14% had neurological disease, 6% had Rh-negative blood, 14% had myomas, 10% were infertile, and 4% had congenital genital malformations. Women with a history of cervical electroconization were more likely to experience isthmic cervical insufficiency (10%) during pregnancy. The percentage of preterm births was higher in women with a history of cervical electroconization than in those without. Labor induction was performed in 22% of the cases, and labor augmentation with oxytocin was performed 7% less frequently than in women without a history of electroconization.
Conclusion: A history of cervical electroconization was associated with a higher prevalence of somatic and gynecological pathologies. However, it did not increase the frequency of cesarean sections or labor induction with oxytocin. No negative effects on the fetus were observed.
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##article.viewOnOriginalSite##About the authors
Elena A. Rosyuk
Ural State Medical University, Ministry of Health of the Russian Federation
Author for correspondence.
Email: elenakdc@yandex.ru
PhD, Associate Professor, Department of Obstetrics and Gynecology
Russian Federation, YekaterinburgTatyana A. Oboskalova
Ural State Medical University, Ministry of Health of the Russian Federation
Email: oboskalova.tat@yandex.ru
ORCID iD: 0000-0003-0711-7896
Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology
Russian Federation, YekaterinburgElena S. Emelyanova
Ural State Medical University, Ministry of Health of the Russian Federation
Email: lena.emelyanova2001@gmail.com
student of the Faculty of Medicine and Prevention
Russian Federation, YekaterinburgNatalya V. Butorina
Ural State Medical University, Ministry of Health of the Russian Federation
Email: elenakdc@yandex.ru
student of the Faculty of Medicine and Prevention
Russian Federation, YekaterinburgTatyana G. Emelyanova
Central City Clinical Hospital No. 6
Email: lena.emelyanova2001@gmail.com
Head of Women’s Consultation No. 1
Russian Federation, YekaterinburgEvgeny Yu. Glukhov
Ural State Medical University, Ministry of Health of the Russian Federation; Gynecological Center "Women's Clinic"
Email: dok@gynclinic.ru
Dr. Med. Sci., Professor at the Department of Obstetrics and Gynecology
Russian Federation, Yekaterinburg; YekaterinburgEkaterina I. Neff
Gynecological Center "Women's Clinic"
Email: neff@gynclinic.ru
PhD, Deputy Chief Physician
Russian Federation, YekaterinburgAlexander M. Yakushev
Ural State Medical University, Ministry of Health of the Russian Federation
Email: elenakdc@yandex.ru
PhD, Associate Professor at the Department of Obstetrics and Gynecology
Russian Federation, YekaterinburgReferences
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