Cervical length screening in patients who have undergone loop electrosurgical excision procedure.
OBJECTIVE
To determine whether cervical length measurements in patients who have undergone a loop electrosurgical excision procedure (LEEP) is a predictor of spontaneous preterm delivery (PTD) at < 35 weeks.


METHODS
A retrospective chart review of 97 pregnant patients with a history of prior LEEP undergoing cervical length screening by transvaginal ultrasound (TVUS) was done. Of these, 87 were included in the study. All patients delivered at the St. Luke's Hospital and Health Network over a 5-year study period. Cervical length measurements in the LEEP group were included. Incidence of PTD in patients who have undergone prior LEEP was compared to patients delivered during the same period who had not undergone LEEP.


RESULTS
Of 87 patients who had undergone LEEP, 3 (3.4%, 95% CI 1.1-9.6%) delivered at < 35 weeks. None of the 3 patients had cervical shortening on TVUS. The PTD rate was not statistically different in the LEEP and non-LEEP groups. A shortened cervix was noted in 4 of the 87 patients in the LEEP group (4.5%, 95% CI 1.8-11%) but none had a PTD.


CONCLUSIONS
Cervical length screening in LEEP patients may not be a predictor of PTD.
Parikh
Reshma
R
Department of Obstetrics and Gynecology, St. Luke's Hospital and Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA.
Horne
Howard
H
Feinstein
Steven J
SJ
Anasti
James N
JN
D000328:Adult; D002584:Cervix Uteri / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery*; D015331:Cohort Studies; D004598:Electrosurgery / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011247:Pregnancy; D047928:Premature Birth / Q000209:etiology*; D012189:Retrospective Studies; D014463:Ultrasonography; D002583:Uterine Cervical Neoplasms / Q000601:surgery*; D055815:Young Adult; D002578:Uterine Cervical Dysplasia / Q000601:surgery*