OPPORTUNISTIC CERVICAL CANCER SCREENING IN PREGNANCY
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2016, Vol 5, Issue 1
Abstract
Introduction: Cervical cancer is the most common malignancy diagnosed during pregnancy. In developing countries where organized screening programmes are lacking, antenatal clinics may provide an opportunity for screening. Objectives: The aim of this study was to analyse the prevalence and management of abnormal cervical cytology in pregnancy. Methodology: This was a prospective study conducted at the Meenakshi Medical College and RI, Kancheepuram, India, from July 2013 to June 2014. Convenience sampling technique was used. After adequate counselling, 300 antenatal mothers between 12 and 34 weeks of gestation were screened with conventional Pap smear. Colposcopy directed biopsy was taken where and when necessary. Results: Among the 300 pregnant women, 90 (30%) were primigravidae and 210 (70%) were multigravidae. 80% were between 21 and 30 years of age. 290 (96.6%) women have never had a pap smear in the past. Conventional Pap smear was taken at < 12 weeks of gestation in 56% of cases, between 13-20 weeks of gestation in 24% of cases, > 21 weeks of gestation in 20% of cases. ASCUS , LSIL and HSIL were reported in one case each. In those with LSIL and HSIL , Colposcopy directed biopsy was reported as CIN 1 and CIN 2 respectively. These two cases were kept under observation during the antenatal period. The CIN II lesion persisted on postpartum follow up and was treated with LLETZ. Conclusion: In countries like India Pap smear screening during pregnancy is worthwhile and the antenatal clinics provide ample opportunities for the screening.
Authors and Affiliations
Radha Bai Prabhu T| Department of Obstetrics & Gynaecology., Meenakshi Medical college and Research Institute, Kancheepuram, Tamilnadu, India Corresponding E-mail address: radhaprabhu54@ymail.com, Damodara Velayudham| Department of Obstetrics & Gynaecology., Meenakshi Medical college and Research Institute, Kancheepuram, Tamilnadu, India, Swati Nethaji| Department of Obstetrics & Gynaecology., Meenakshi Medical college and Research Institute, Kancheepuram, Tamilnadu, India, Harshita singhal| Department of Obstetrics & Gynaecology., Meenakshi Medical college and Research Institute, Kancheepuram, Tamilnadu, India, Ramya venkatachalam| Department of Obstetrics & Gynaecology., Meenakshi Medical college and Research Institute, Kancheepuram, Tamilnadu, India
Keywords
Related Articles
- EP ID EP11554
- DOI -
- Views 291
- Downloads 10
Assessment of Antihyperglycemic Potential of Lyophilized and Oven-Dried Extract of Calocybe indica in Experimentally Streptozotocin-Nicotinamide Induced Diabetic Rats
Uncontrolled diabetes can cause a number complication including heart disease, stroke, liver and kidney damage. Presently herbal formulations are mostly recommended to control diabetes due to lesser side effects compare...
Relationship Between Religious Spiritual Well-Being and Death Anxiety in Iranian Elders
The present study aimed to examine the relationship between religious spiritual well-being and death anxiety among Iranian elders. Subjects were 146 volunteer elders. They were selected by a convenient sampling. Instrum...
Te Effect of Eight Weeks of Global Postural Corrective Exercises on Kyphosis and Forward Head Angle in Elderly Women with Age-Related Hyperkyphosis
Studies reported that, thoracic Hyperkyphosis may have negative effects in health status and postures of elderly women. The aim or current research was to evaluate the effect of eight weeks of global postural corrective...
Physiological Study on the Relation of Heart Rate Variability in Ageing and Thyroid Hormone Disorder
The present study aimed to investigate whether cardiac autonomic dysfunction in aging human might be related to an underlying thyroid disturbance. ageing has been associated with hypothyroidism and cardiac autonomic dy...
Co-occurrence of Gardnerellavaginalis and Candida sp. in women with and without vulvovaginitis
Aims: To detect the co-occurrence of Gardnerellavaginalis and Candida sp.in women with and without vaginal symptoms. Methods: A cross-sectional study was performed in women seeking treatment in a Brazilian city from Ma...