AI Article Synopsis
- This study evaluates the safety and effectiveness of cervical polypectomy using vaginoscopy in pregnant women diagnosed with cervical polyps.
- Two groups were compared: one group underwent the polypectomy procedure with vaginoscopy while the other received conservative management.
- Results showed that the vaginoscopy group experienced fewer instances of preterm birth and premature rupture of membranes, suggesting it may be a safer option for managing cervical polyps during pregnancy.
Article Abstract
Purposes: This study aims to assess the effectiveness and safety of cervical polypectomy performed via vaginoscopy in pregnant women.
Methods: Pregnant patients diagnosed with cervical polyps were retrospectively included in Beijing Tiantan Hospital between April 2017 and April 2023. Group A underwent cervical polypectomy using a vaginoscopy technique without speculum, cervical forceps and anesthesia, while Group B received conservative management. The incidence of spontaneous abortion, preterm birth, preterm rupture of membranes (PROM), visual analog scale (VAS) scores, timing and method of delivery, and neonatal outcomes were analyzed.
Results: Of 90 pregnant patients included in the study, 48 patients receiving polypectomy under vaginoscopy were included into group A while 42 patients receiving conservative treatment were assigned into group B. At baseline, group A exhibited higher rates of vaginal bleeding pre-operation, as well as larger cervical polyp dimensions compared to group B. The median interval between vaginal bleeding and polypectomy was 3.5 weeks, with the median procedure typically performed at gestational week 19 in group A. There was no significant difference in the incidence of spontaneous abortion between the two groups (4.2% vs. 4.8%, p = 1.000). However, group A showed a significantly lower frequency of preterm birth (4.2% vs. 21.4%, p = 0.030) and premature rupture of membranes (PROM) (18.8% vs. 45.2%, p = 0.025) compared to group B. No disparities were observed in the timing, mode of delivery, and neonatal outcomes between the two groups.
Conclusions: The utilization of vaginoscopy for cervical polypectomy has been shown to decrease the likelihood of preterm delivery and premature rupture of membranes in pregnant women with symptomatic cervical polyps. Therefore, performing cervical polypectomy via vaginoscopy without anesthesia provide a feasible and optimal ways in the management of this population.
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| http://dx.doi.org/10.1007/s00404-024-07583-2 | DOI Listing |
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- Two groups were compared: one group underwent the polypectomy procedure with vaginoscopy while the other received conservative management.
- Results showed that the vaginoscopy group experienced fewer instances of preterm birth and premature rupture of membranes, suggesting it may be a safer option for managing cervical polyps during pregnancy.
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