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Abstracts - RGCON 2016
Case Report
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Erratum
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Letter to the Editor
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Point of Technique
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Abstracts - RGCON 2016
02 (
Suppl 1
); S115-S115
doi:
10.1055/s-0039-1685359

Miscellaneous: Poster Abstract: Prevalence of abnormal PAP smears in antenatal women in a tertiary hospital in India

Department of Gynecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
Licence
This open access article is licensed under Creative Commons Attribution 4.0 International (CC BY 4.0). http://creativecommons.org/licenses/by/4.0
Disclaimer:
This article was originally published by Wolters Kluwer - Medknow and was migrated to Scientific Scholar after the change of Publisher.

Abstract

Background:

Pregnancy provides a good time for opportunistic screening of our women who rarely attend for cervical screening. The prevalence of abnormal PAP smear in pregnant women in developed countries was 5-6%, however, no literature was available from India.

Aim:

To determine the prevalence of abnormal PAP smears in antenatal women presenting to our antenatal clinic.

Methods:

Women attending the antenatal clinic with gestation of <28 weeks were recruited after an informed consent and had a PAP smear by Ayre spatula and cytobrush or a broom type of cytobrush. The comfort level during smear taking & any problems noted were recorded using a pain score. The smears were stained using the PAP stain, were categorized as adequate or inadequate & classified as per Bethesda classification.

Results:

We had 150 women participating, the mean age was 24.2 yrs, the mean period of gestation was 17 weeks; 43.9% were nulliparous. Smear adequacy rate was 71.5% overall. Pain during procedure was reported in 2.9% of women, 18.3% had minor discomfort; 78.6% were comfortable. Minor bleeding during smear taking was noted in 15%; this was more with the cytobrush & broom than the Ayre spatula alone. Abnormal smears were seen in three women; two had AGC & one had LSIL.

Conclusions:

Opportunistic cervical screening during pregnancy is safe and well tolerated. Abnormal Cervical smears were seen in 2% of our pregnant women.


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