In the hospital I work at we consider the women to be more at risk of miscarriage and or pre term birth the women are looked after by the consultants but hey also can be cared for by the midwife in conjunction that is both see them. Cheers sharon
_____ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Rene and Tiffany Sent: Saturday, 6 January 2007 5:31 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Premature birth risks of loop diathermy Hello wise women, Does anyone know the probability of having a pre-term birth or miscarriage in women who have previously undergone a LLETZ procedure? I asked an ob at our hospital and couldn’t get a straight answer. Ta Tiff :-) BBC NEWS Womb cell op 'raises birth risk' The most common operation to remove abnormal cervical cells raises the risk of giving birth early, experts say. A study of 5,000 Australian women found when a heated wire, loop diathermy, was used the risk rose substantially. Young women should not automatically have diathermy, the British Journal of Obstetrics and Gynaecology (BJOG) says. UK experts said abandoning the treatment could mean up to 1,500 fewer premature births a year - and they said doctors should consider alternatives. Last year, more than 3.3 million women in the UK underwent screening, and just over 1% of these had clear changes in the cells lining the cervix. Women need to know about the risks involved and discuss alternative treatments with their gynaecologist, before going ahead with a procedure that increases the risk of pre-term birth Phil Steer BJOG Women with severe changes in these cells are at higher risk of going on to develop cervical cancer at some point, and are often referred to hospital to have them removed. Increased risk There are three main ways of doing this, two of which - cone biopsy and loop diathermy - can remove relatively large amounts of tissue from the cervix. Cone biopsy is now used only rarely in the UK. The third - called laser ablation - destroys just the abnormal surface cells. While other studies have already made a link between loop diathermy and premature birth, the Australian research, from Melbourne University and Royal Women's Hospital in Australia, is the largest yet. It found that having had abnormal cells, regardless of the method of removal, increased the risk of having a premature baby, but having either loop diathermy or cone biopsy raised that risk even further. Only the laser ablation technique - in the UK more commonly used on women with very mild cell changes - did not increase the chance of a premature baby. Babies born prematurely - before 37 weeks pregnancy - are at increased risk of a variety of health problems. Practical problems The researchers said that doctors should consider using alternatives to loop diathermy in women of childbearing age, and that women should be made fully aware of the risks before undergoing the procedure. Phil Steer, editor of the BJOG said: "Women need to know about the risks involved and discuss alternative treatments with their gynaecologist, before going ahead with a procedure that increases the risk of pre-term birth." Dr Margaret Cruickshank, a senior lecturer in obstetrics and gynaecology at Aberdeen University, said that the vast majority of UK women with abnormal cells currently received diathermy rather than ablation. She said there would be huge practical difficulties and expense involved in hospitals abandoning it. "The key thing appears to be the volume of tissue removed, and we need to find out in more detail the relationship between this and the risk of preterm birth." She said that the main advantage of diathermy was that it produced a sample of tissue which could be removed and analysed in the laboratory to make sure a cancer had not been missed, whereas ablation destroyed the tissue. Story from BBC NEWS: http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/6227555.stm Published: 2007/01/03 11:57:27 GMT © BBC MMVII -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.16.6/617 - Release Date: 5/01/2007 11:11 AM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.16.6/617 - Release Date: 5/01/2007 11:11 AM
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