OBGYN recc- HPV/Abnormal Pap

Anonymous
Recommendation for an OBGYN who is highly skilled in managing abnormal pap/HPV during pregnancy? Sometimes pregnancy can create abnormal results so its important to work with someone who is very experienced at interpreting the results. Looking to switch OBGYN.
Anonymous
Dr. Busch at Reiter Hill handled my abnormal Pap and eventual LEEP procedure about 10 years ago. She was wonderful.

I'm still with the practice and expecting my first. They had already accounted for additional monitoring and potential treatment based on my prior history from my first appointment on. No issues so far, but I have complete trust in them.
Anonymous
Anonymous wrote:Dr. Busch at Reiter Hill handled my abnormal Pap and eventual LEEP procedure about 10 years ago. She was wonderful.

I'm still with the practice and expecting my first. They had already accounted for additional monitoring and potential treatment based on my prior history from my first appointment on. No issues so far, but I have complete trust in them.


Can you update after birth, if you ended up with failure to progress and had to have a csection? Wondering if women who have had LEEP and other procedures that freeze parts of the cervix have the same outcome with failure to progress leading to a csection.
Anonymous
Anonymous wrote:
Anonymous wrote:Dr. Busch at Reiter Hill handled my abnormal Pap and eventual LEEP procedure about 10 years ago. She was wonderful.

I'm still with the practice and expecting my first. They had already accounted for additional monitoring and potential treatment based on my prior history from my first appointment on. No issues so far, but I have complete trust in them.


Can you update after birth, if you ended up with failure to progress and had to have a csection? Wondering if women who have had LEEP and other procedures that freeze parts of the cervix have the same outcome with failure to progress leading to a csection.


I'm still several months out but I will try to remember. The biggest concern they've expressed to me post-LEEP is the potential for cervical incompetence. It just meant I had to go for additional ultrasounds from 16 weeks until viability at 24 weeks to measure my cervix.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Dr. Busch at Reiter Hill handled my abnormal Pap and eventual LEEP procedure about 10 years ago. She was wonderful.

I'm still with the practice and expecting my first. They had already accounted for additional monitoring and potential treatment based on my prior history from my first appointment on. No issues so far, but I have complete trust in them.


Can you update after birth, if you ended up with failure to progress and had to have a csection? Wondering if women who have had LEEP and other procedures that freeze parts of the cervix have the same outcome with failure to progress leading to a csection.


I'm still several months out but I will try to remember. The biggest concern they've expressed to me post-LEEP is the potential for cervical incompetence. It just meant I had to go for additional ultrasounds from 16 weeks until viability at 24 weeks to measure my cervix.


PP here. I delivered and wanted to update.

My water ended up breaking at exactly 36 weeks (PPROM), I was scheduled for induction at 37 weeks due to development of gestational hypertension at 35 weeks. My labor progressed naturally for about 16 hours until I started showing signs of preeclampsia at which time I was induced. I was ready to push 9 hours after induction and baby was born within 1.5 hours. Despite being 36 weeks, my baby was born healthy and didn’t require NICU time.

I did ask my doctors about my water breaking and they said it is not unusual in LEEP recipients to have their waters break a little early. But the development of hypertension could have been a factor as well.

Hope this eases your mind in some way.
Anonymous
Anonymous wrote:
Anonymous wrote:Dr. Busch at Reiter Hill handled my abnormal Pap and eventual LEEP procedure about 10 years ago. She was wonderful.

I'm still with the practice and expecting my first. They had already accounted for additional monitoring and potential treatment based on my prior history from my first appointment on. No issues so far, but I have complete trust in them.


Can you update after birth, if you ended up with failure to progress and had to have a csection? Wondering if women who have had LEEP and other procedures that freeze parts of the cervix have the same outcome with failure to progress leading to a csection.


I had the same conern and my high risk dr told me its very rare for that to happen from a leep. Its more so from Cone biposies.
Anonymous
I had an abnormal pap + LEEP a few years before conception/delivery. Like a PP, my water broke at 36 weeks. Baby was breech so I needed a c-section. Everyone was healthy & happy. Also like PP, i had lots of monitoring for cervical length during pregnancy. Dr Osmun was my OBGYN -- he is with Bloom OBGYN.
Anonymous
I had a laser ablation of the cervix. My gyn at the time stated that he thought it was the right approach for making sure of no cervical length issues during pregnancy. I went on to have 3 full-term pregnancies after that. From what I understand, the laser ablation's not always the most "current" standard of care because it doesn't allow for analysis of tissue by pathology. However, I've not had any additional issues since then. I was at Capital Women's Care, DC at the time.
Anonymous
Count me as another and I had a successful homebirth.
Anonymous
Anonymous wrote:Count me as another and I had a successful homebirth.


I should add that my water took forever to break and I was fully dilated. I was supplementing with chlorophyll which I later heard helps to keep it intact.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Dr. Busch at Reiter Hill handled my abnormal Pap and eventual LEEP procedure about 10 years ago. She was wonderful.

I'm still with the practice and expecting my first. They had already accounted for additional monitoring and potential treatment based on my prior history from my first appointment on. No issues so far, but I have complete trust in them.


Can you update after birth, if you ended up with failure to progress and had to have a csection? Wondering if women who have had LEEP and other procedures that freeze parts of the cervix have the same outcome with failure to progress leading to a csection.


I'm still several months out but I will try to remember. The biggest concern they've expressed to me post-LEEP is the potential for cervical incompetence. It just meant I had to go for additional ultrasounds from 16 weeks until viability at 24 weeks to measure my cervix.


PP here. I delivered and wanted to update.

My water ended up breaking at exactly 36 weeks (PPROM), I was scheduled for induction at 37 weeks due to development of gestational hypertension at 35 weeks. My labor progressed naturally for about 16 hours until I started showing signs of preeclampsia at which time I was induced. I was ready to push 9 hours after induction and baby was born within 1.5 hours. Despite being 36 weeks, my baby was born healthy and didn’t require
NICU time.

I did ask my doctors about my water breaking and they said it is not unusual in LEEP recipients to have their waters break a little early. But the development of hypertension could have been a factor as well.

Hope this eases your mind in some way.



question for you off topic- how did they discover the GD at 35 weeks? I had my test at 28 weeks, failed the 1 hour, but past the 3 hour with flying colors. I always wonder if it could creep up and wondering how the dr would even go about knowing if the testing has already been done. Thanks!!
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