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For women with early\u2010stage disease (FIGO stage IA1\u2010IB1), fertility\u2010sparing procedures, such as conization, trachelectomy or radical trachelectomy, represent the treatments of choice. However, women who undergo repeated conization or trachelectomy represent a challenge for obstetricians because they are at increased risk of infertility, mid\u2010trimester miscarriage, preterm premature rupture of membranes and preterm delivery. So far, the evidence\u2010based guidance on the management of these pregnancies is limited. This article reviews the literature discussing pregnancy management in women after fertility\u2010sparing surgery for early cervical cancer. Although the evidence is limited, certain measures are desirable, including screening and treatment of asymptomatic bacteriuria, screening for cervical incompetence and progressive cervical shortening by transvaginal ultrasonography, and fetal fibronectin testing. Vaginal progesterone supplementation should be primary prevention for all women after trachelectomy. Women with a history of preterm delivery or late miscarriage may benefit from cervical cerclage. Elective delivery by cesarean section in the early\u2010term period is desirable.<\/jats:p>","DOI":"10.1111\/aogs.13917","type":"journal-article","created":{"date-parts":[[2020,5,16]],"date-time":"2020-05-16T22:15:40Z","timestamp":1589667340000},"page":"830-838","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Management of pregnancy after fertility\u2010sparing surgery for cervical cancer"],"prefix":"10.1111","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0811-2085","authenticated-orcid":false,"given":"Patrik","family":"\u0160imj\u00e1k","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics First Faculty of Medicine Charles University and General University Hospital Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Cibula","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics First 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