Something I've never heard before

shortstuff15 · October 2010

Here's an blog that a friend posted on facebook that has some interesting information. I have never had a procedure done before, so it didn't affect me, but with all the talk of "failure to progress" and higher c-section rates, this blog is very interesting.

https://birthfaith.org/midwives/cervical-scar-tissue

papagena · October 2010

Interesting. I have a couple of friends who've had to have LEEPs. I wonder if she's insinuating that women should decline LEEPs (kind of sounded like it at the end). I don't know a lot, but would say that's dangerous in many situations. More education about it and how to deal with it in labor, etc, that I'm all for.

Rachiemoo · October 2010

thanks for posting this, i've heard of this issue before, something i def. need to think about.

capitalB · October 2010

papagena:
Interesting. I have a couple of friends who've had to have LEEPs. I wonder if she's insinuating that women should decline LEEPs (kind of sounded like it at the end). I don't know a lot, but would say that's dangerous in many situations. More education about it and how to deal with it in labor, etc, that I'm all for.

I wondered the same thing. The post does not make any mention of LEEP procedures preventing cervical cancer. I think (hope) the author's intention was to encourage health care providers to talk to their patients about potential childbirth complications and for women who have had LEEPs to be aware of the affect of scar tissue on labor. Interesting information nonetheless - thank you for sharing!

duncanpowers · October 2010

That problem has actually cropped up several times in the short life of this board with some of our moms. It definitely does happen.

Mrs_Liberto · October 2010

duncanpowers:
That problem has actually cropped up several times in the short life of this board with some of our moms. It definitely does happen.

Yep. The CNM I see for well-woman care has made mention of the fact that scar tissue from a LEEP will "probably" cause issues for me at some point, too.

MissyOlivePants · October 2010

VERY interesting. While I haven't had a LEEP, I did have a biopsy & have also had a D&C. After 48hrs, I never got passed 7cm & only 80% effaced. (Granted, it wouldn't have changed the outcome of needing a c/s because of DD being transverse & completely stuck)

When I am pg next, I will definitely mention it to my new MW.

shortstuff15 · October 2010

capitalB:

papagena:
Interesting. I have a couple of friends who've had to have LEEPs. I wonder if she's insinuating that women should decline LEEPs (kind of sounded like it at the end). I don't know a lot, but would say that's dangerous in many situations. More education about it and how to deal with it in labor, etc, that I'm all for.

I wondered the same thing. The post does not make any mention of LEEP procedures preventing cervical cancer. I think (hope) the author's intention was to encourage health care providers to talk to their patients about potential childbirth complications and for women who have had LEEPs to be aware of the affect of scar tissue on labor. Interesting information nonetheless - thank you for sharing!

I took it more to mean education for how to deal with it in labor.

rae_dylanzmom · October 2010

I read this more as a precautionary tale for her daughters to avoid sexually transmitted diseases in the first place, rather than avoiding the LEEP treatments for pre-cancerous cells once they exist.

Also, it read to me like a potentially treatable 'failure to progress' problem that may not get adequately addressed by uneducated healthcare professionals.

MissyOlivePants · October 2010

rachelinouray:
I read this more as a precautionary tale for her daughters to avoid sexually transmitted diseases in the first place, rather than avoiding the LEEP treatments for pre-cancerous cells once they exist.

While I agree that it is a good thing to avoid STD's...

Just so you know, you don't have to have sex to have abnormal paps or other cervical issues, thank you very much.

Ahmay88 · October 2010

I'm mostly a lurker on this board but this really made me think differently about the problems I have had in my current pregnancy. I had a miscarriage and D&C about a year before my pregnancy with my DS and had a turbulent pregnancy with him. I had contractions for about 2 months before he came at 37 weeks and I delivered very quickly for a first baby.

I am pregnant now with my second DS. I started contracting at 21 weeks and had a circlage procedure at 23 weeks, when it was discovered that my cervix had begun to thin extremely prematurely. When the doctor performed the procedure, he commented that I had a lot of scarring on my cervix and that with this and the new scars from the stitches it may take some extra time for my to progress and that as long as we are patient it should not be a problem.

I will definitely be keeping this info in mind during my delivery, though.

Thank you for sharing this!

catsinawindow · October 2010

In my own experience, I also think that some Gyns are too eager to do LEEPs. My own story: about 5 years ago I was diagnosed with low-grade cervical displasia. No high-risk strains of HPV were detected on two seperate PAP smears. Colposcopy confirmed low-grade displasia. My Gyn recommended LEEP.

I looked into the literature and found that I had a greater than 97% chance of the displasia clearing on it's own. In fact, the medical literature RECOMMENDED monitoring over a LEEP procedure for women in my situation. I went to my doctor with this research and told him I wanted to monitor rather than do the LEEP procedure. He was vehemently against this. I went to a different Gyn for a second opinion and she accepted my decision to monitor. Very next PAP smear was back to normal.

Needless to say, particularly after reading this article, I am SO glad that I didn't listen to my first Gyn and get the LEEP. While LEEP is great as a tool for preventing cervical cancer, as in my case, it can be overused.

DeAnna&DavidRyder · October 2010

lisagde:
In my own experience, I also think that some Gyns are too eager to do LEEPs. My own story: about 5 years ago I was diagnosed with low-grade cervical displasia. No high-risk strains of HPV were detected on two seperate PAP smears. Colposcopy confirmed low-grade displasia. My Gyn recommended LEEP.
I looked into the literature and found that I had a greater than 97% chance of the displasia clearing on it's own. In fact, the medical literature RECOMMENDED monitoring over a LEEP procedure for women in my situation. I went to my doctor with this research and told him I wanted to monitor rather than do the LEEP procedure. He was vehemently against this. I went to a different Gyn for a second opinion and she accepted my decision to monitor. Very next PAP smear was back to normal.
Needless to say, particularly after reading this article, I am SO glad that I didn't listen to my first Gyn and get the LEEP. While LEEP is great as a tool for preventing cervical cancer, as in my case, it can be overused.

this sounds very similar to my situation.

mine was just a few month before BFP. and my Doc said at my 6 week post partum he wants to double check everything is good but said basically

no point in finding out not. because he won't consider do anything about it while i'm pregnant haha. (i guess hpv isn't harmful to the baby so he doesn't see the point in finding out. because performing a LEEP on a pregnant woman would be idiotic in his opinion.)

he's great.

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