Author/Editor		Guzej, Zdenka; Deisinger, Dušan; Lovšin, Boštjan; Ravnikar, Janislav; Zver-Skomina, Janjaž; Smajila, Andreja; Verdenik, Ivan; Verem, Sabina
Title		Porod po konizaciji
Translated title		Delivery after conization
Type		članek
Source		In: Lovšin B, editor. Zbornik prispevkov 50 let Ginekološko-porodniškega oddelka Splošne bolnišnice Izola: zgodovina oddelka, diagnostika in zdravljenje cervikalnih intraepitelijski sprememb; 2004 apr 2; Portorož-Bernardin. Izola: Splošna bolnišnica Izola, Ginekološko-porodniški oddelek,
Publication year		2004
Volume		str. 64-73
Language		slo
Abstract		Backpround. The aim of the analysis was to evaluate the effect of the cervical conization on the duration of pregnancies, preterm delivery, cerclage, mode of delivery and perinatal mortality. We have done two analysis. The first in Slovenia and the second in Department of Gynecology and Obstetrics in General Hospital Izola. Methods. A retrospective study was performed. We compared two groups of deliveries after conization and without conization. The source of data was National Perinatal Information Sistem (NPIS) of Slovenia from 1997 to1999. We have also done retrospective analysis of all delivery records in Maternity Izola from 1999 to 2003. Results. There were 53001 deliveries in Slovenia in the years i997-1999, among theme 522 (1,0%) after conization. It was impossible to find out what kind of operations - conizations were done. We discovered statisticaly significant more preterm deliveries after conization 19,2% (No 100) vs. 5,6% (No 2943), shorter duration of gestation 37,9 weeks vs. 39,2 weeks, more elective cesarean sections 5,3% vs. 3,2%, more cesarean deliveries 14,4% vs. 9,6% and more cerclage 9,4% vs. 1,0%. We found no difference in perinatal mortality rate between the groups. There were 2827 deliveries in Izola Maternity in the years 1999 to 2003, among them 44 (1,6%) after conization. In 43 (97,7%) cases the cold knife conization was done. We found statisticaly significant more preterm deliveries after conization 27,3% (No 12) vs. 4,4%( No 105). Conclusion. We confirmed our suspicion that conization increases the risk of preterm delivery in Slovenia and Izola.
Descriptors		CONIZATION CERVICAL INTRAEPITHELIAL NEOPLASIA ELECTROCOAGULATION LABOR LABOR, PREMATURE RETROSPECTIVE STUDIES