A study involving more than 1,700 women suggests that loop electrosurgical excision procedure, a common treatment to remove precancerous tissue on the cervix, does not lead to increased rates of cesarean delivery in the subsequent pregnancy. The procedure causes scarring of the cervix, which, the authors had surmised, could impact the ability of the cervix to dilate in labor. Arrested dilation is one of the most common indications for cesarean delivery in the U.S. However, in the new retrospective study published in Obstetrics & Gynecology, researchers found that women with a history of LEEP had similar rates of cesarean delivery in a subsequent pregnancy as women without a history of cervical biopsy or excisional procedure. These findings held true regardless of the size of the specimen or interval after the procedure. Read the abstract.
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