SciELO - Scientific Electronic Library Online

 
vol.74 número6RIESGO OBSTÉTRICO Y PERINATAL EN EMBARAZADAS MAYORES DE 35 AÑOSCOSTO OPORTUNIDAD EN LA EMBARAZADA QUE DEMANDA ATENCIÓN EN PRIMER NIVEL DE ATENCIÓN índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

Compartir


Revista chilena de obstetricia y ginecología

versión impresa ISSN 0048-766Xversión On-line ISSN 0717-7526

Resumen

PAVLOVIC B, Milenko et al. PROCEDIMIENTO DE ESCISIÓN ELECTRO-QUIRÚRGICA POR ASA TÉRMICA Y RIESGO DE PARTO PREMATURO: UNA REVISIÓN SISTEMÁTICA DE LA LITERATURA. Rev. chil. obstet. ginecol. [online]. 2009, vol.74, n.6, pp.339-344. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262009000600004.

Background: Unlike cold-knife conization, studies have shown conflicting results on the outcome of pregnancy following loop electrosurgical excision procedure (LEEP). Objective: Critical analysis of the literature to establish if the LEEP treatments increase risk of preterm delivery and its influence in maternal-perinatal results. Results: Only three studies were filling the inclusion criteria. The first study does not show that LEEP treatment increase risk of preterm delivery and low birth weight. The second study shows increased risk of premature rupture of membranes and the subsequent preterm delivery, but not spontaneous preterm delivery. Nevertheless, the third study shows increased risk of premature rupture of membranes and the subsequent preterm delivery, spontaneous preterm delivery and low birth weight. The three studies are based in retrospective cohorts, which grant them a level of evidence of type 2b. Conclusion: The evidence indicates that loop excision of the transformation zone by LEEP is associated with a small but real increase the risk of preterm delivery.

Palabras clave : Cervical intra-epithelial neoplasia; cervical conization; loop electrosurgical excision procedure; preterm delivery; premature rupture of membranes.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons