RT Journal Article SR Electronic T1 Obstetric management following fertility-sparing radical vaginal trachelectomy for cervical cancer JF Archives of Disease in Childhood - Fetal and Neonatal Edition JO Arch Dis Child Fetal Neonatal Ed FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP Fa110 OP Fa110 DO 10.1136/adc.2010.189761.71 VO 95 IS Suppl 1 A1 LJ Knight A1 N Acheson A1 TA Kay A1 JN Renninson A1 JH Shepherd A1 MJO Taylor YR 2010 UL http://fn.bmj.com/content/95/Suppl_1/Fa110.1.abstract AB Radical vaginal trachelectomy now affords a fertility-sparing procedure for the treatment of early-stage cervical cancer in young women. Subsequent obstetric management within this group of women remain a challenge to the obstetrician, with risks of premature labour a continuing probability throughout pregnancy. Here the authors describe four cases of successful pregnancy following radical vaginal trachelectomy within our unit. The merits of early antenatal intervention, regular lower uterine segment length monitoring and use of daily progesterone pessaries are discussed alongside the current supportive evidence. The authors conclude with a discussion of proposed recommendations for obstetric management of pregnancy in women postradical vaginal trachelectomy.