Should pregnant women with a history of LEEP have cervical length screening in the second trimester?

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Abstract

CASE

A 27-year-old primigravida presents for a follow-up visit at 20 weeks. She underwent a loop electrosurgical excision procedure (LEEP) 2 years ago for cervical intraepithelial neoplasia grade 2 (CIN2). You consider whether to order a transvaginal ultrasound to assess cervical length, which might alert you to an increased risk of preterm delivery.

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