Pregnancy outcome and risk of recurrence after tissue-preserving LOOP Electrosurgical Excision Procedure (LEEP)

Autor: Jule Alena Lieb, Anne Mondal, Lenard Lieb, Tanja Natascha Fehm, Monika Hampl
Přispěvatelé: Macro, International & Labour Economics, RS: GSBE Theme Data-Driven Decision-Making, RS: GSBE Studio Europa Maastricht, RS: GSBE other - not theme-related research
Rok vydání: 2022
Předmět:
Zdroj: Archives of Gynecology and Obstetrics, 307(4), 1137-1143. Springer
ISSN: 0932-0067
Popis: Background/purpose This study aims to investigate whether women with cervical dysplasia after LEEP have an increased risk of pregnancy/childbirth complications or recurrence of dysplasia in an upcoming pregnancy. Methods Data from 240 women after LEEP were analysed retrospectively. The reference group consisted of 956 singleton births. Fisher’s and Wilcoxon rank tests were used to detect differences between groups. Using logistic regressions, we analysed the effect of surgery-specific aspects of LEEP on pregnancy/childbirth complications and the frequency of CIN recurrences. Results We found that tissue-preserving LEEP did not lead to premature birth or miscarriage and did not increase the likelihood of CIN recurrence. We did not observe differences regarding preterm birth [p p p p p p p p Conclusions After tissue-preserving LEEP, there is an increased risk of vaginal infections and PROM at term in consecutive pregnancy. LEEP does not affect prematurity or miscarriage. The removal of additional endocervical tissue appears to be a protective factor against recurrence of CIN.
Databáze: OpenAIRE
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