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Maternal uterine, cervical, and vulvovaginal conditions 

Maternal uterine, cervical, and vulvovaginal conditions
Chapter:
Maternal uterine, cervical, and vulvovaginal conditions
Author(s):

Harini Narayan

DOI:
10.1093/med/9780199673643.003.0011
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date: 29 July 2021

Women with high-grade cervical intraepithelial neoplasia are generally of reproductive age, and excisional treatments ranging from LLETZ to radical trachelectomy may be associated with an increased risk of preterm premature rupture of membranes (PPROM) or preterm delivery in a subsequent pregnancy. A congenitally malformed uterus, large fibroids or previous myomectomy can pose pregnancy problems. Female genital mutilation (FGM) raises many obstetric and psychological issues. Under each topic, the identification of potential risks, pre-pregnancy counselling, potential impact on pregnancy, corrective surgery and prognosis are explored alongside possible interventions. The information in the fact files and care pathways is suitable for use in busy clinical settings to help plan appropriate antenatal care. Risk management principles, including specific documentation for labour and delivery in FGM according to national and international guidelines, and key information for intrapartum care and guidance regarding avoidance of unnecessary interventions and the optimal mode of delivery are highlighted.

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