Show Summary Details
Page of

Maternal uterine, cervical, and vulvovaginal conditions 

Maternal uterine, cervical, and vulvovaginal conditions
Maternal uterine, cervical, and vulvovaginal conditions

Harini Narayan

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

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.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.