This review summarizes possible complications related to the Trendelenburg position and current evidence regarding interventions to minimize the risk of complications.

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A frican american, hispanic, American Indian, and Alaskan Native women continue to be disproportionately affected by cervical cancer compared with white women. From 2006 to 2010, the incidence of cervical cancer in African American women was 10.3 per 100,000; in white women it was 7.2. 1 The mortality rate from cervical cancer in African American women is twice that in white women. 1 Although cervical cancer rates have decreased nationwide, signifi cant racial health disparities persist.

Based on our data, even small colposcope-undetectable biopsies of CIN3 are significant. Random biopsies of CIN2 or CIN3 demonstrate similar p16 positivity as visible lesions and therefore might be expected to have a similar natural history.

No abstract