Abstract

BARROS, Joana Goulão et al. Obstetric outcomes after radical trachelectomy in a series of four pregnancies. Acta Obstet Ginecol Port [online]. 2015, vol.9, n.5, pp.409-412. ISSN 1646-5830.

Vaginal radical trachelectomy has been established as a valuable fertility-preserving treatment in women with early stage cervical cancer. Pregnancies after this procedure may pose several clinical challenges. The aim of this study was to report pregnancy outcomes after vaginal radical trachelectomy. We surveilled four pregnancies in three different patients. No first trimester miscarriages were observed. One of the patients suffered a second trimester pregnancy loss as a consequence of a preterm premature rupture of membranes. A total of three pregnancies reached the third trimester, and one delivered prematurely, at 29 weeks of gestation. A caesarean section was performed in all cases that reached viability. Good maternal and neonatal outcomes are possible in pregnancies after radical trachelectomy. Obstetrical surveillance must be undertaken in a maternal-fetal unit included in a tertiary hospital, in order to achieve the best results.

Keywords : Pregnancy; Vaginal trachelectomy.

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