Abstract
This study was undertaken to ascertain whether large loop excision of the transformation zone (LLETZ) for cervical intraepithelial neoplasia (CTN) has any adverse effect on subsequent pregnancy and labor. Twenty five women who became pregnant following LLETZ were prospectively followed up and their case notes were analyzed for pregnancy and labor outcome. There were 30 pregnancies in 25 women. The mean age was 26.2 years. Of the 30 pregnancy episodes, six were primigravidae and 24 were multigravidae. 46.7% of the pregnancies occurred within 6 months of LLETZ. Of the 23 cases where pregnancy continued after 12 weeks, cervical length was assessed by scan in 11 cases. The cervical length was less than 3cm in two cases. Cervical encerclage was carried out in six cases. 91.3% of the women delivered at term and 8.7% had preterm delivery. This study showed that LLETZ of the cervix was not associated with adverse pregnancy outcome.
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