It mihgt be worth looking at any regional differences in the preterm
delivery rates in Scotland reported by
James W Chalmers,
Consultant in Public Health Medicine
Information Services Division, NHS National Services Scotland, Gyle
Square, Edinburgh. EH14 5BE,
Etta Shanks, Anne Stott, Catherine Paton as I understand that Deeside and
Ninewells Hospital, Dundee have not adopted the routine use of Lletz for
the treatment of CIN but have continued to use cold coaguation. Cold
coagulation may cause less damage to the cervix. Although Lletz was not
thought to cause any damage, recent evidence does show this treatment is
associated with an increased risk of preterm labour. The Dundee area is
probably one of the few areas in the world where Lletz has not been
adopted as routine. The effectiveness of the treatment however appears to
be just as good. Perhaps Chalmers et al can look at their data on a
regional basis.
Rapid Response:
Could Lletz be responsibe
It mihgt be worth looking at any regional differences in the preterm
delivery rates in Scotland reported by
James W Chalmers,
Consultant in Public Health Medicine
Information Services Division, NHS National Services Scotland, Gyle
Square, Edinburgh. EH14 5BE,
Etta Shanks, Anne Stott, Catherine Paton as I understand that Deeside and
Ninewells Hospital, Dundee have not adopted the routine use of Lletz for
the treatment of CIN but have continued to use cold coaguation. Cold
coagulation may cause less damage to the cervix. Although Lletz was not
thought to cause any damage, recent evidence does show this treatment is
associated with an increased risk of preterm labour. The Dundee area is
probably one of the few areas in the world where Lletz has not been
adopted as routine. The effectiveness of the treatment however appears to
be just as good. Perhaps Chalmers et al can look at their data on a
regional basis.
Competing interests:
None declared
Competing interests: No competing interests