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[Evaluation of French practices regarding cytologic cervical cancer screening during pregnancy: A bicentric
M Saulneron1, M Descamps-Mollier1, X Carcopino2
1Aix-Marseille université, école universitaire de Maïeutique Marseille Méditerranée, 13344 Marseille cedex 15, France.
Objectives:
To evaluate the practice of cytologic cervical cancer screening during the follow-up of pregnancy.
Materials And Methods:
A retrospective cohort study was conducted from July to November 2013. During this period, 300 women attending to the obstetrical department of two universitary hospitals were randomly included immediately after their delivery.
Results:
Among included women, 155 (51.7%) had a normal cervical cytology performed within the past 3 years. Overall, 75 (25%) women had a cervical cytology performed during their pregnancy. Although patients who did not have a cervical cytology performed within the past 3 years were significantly more likely to have a cervical cytology performed during the follow up of their pregnancy (AOR: 2.30; 95% CI: 1.03-5.26; P=0.049), only 39 (26.9%) of the 145 women who did not have a cervical cytology performed within the last 3 years had a catch up cytology performed. Age 25 or older had no significant influence on the probability that a cervical cytology had been performed during pregnancy (ORA: 1.11; 95% CI: 0.51-2.43; P=0.786).
Conclusion:
Although the follow-up of pregnancy allows for the catch up of non attendant women to cytologic cervical cancer screening, such catch up remains insufficient and most of cervical cytologies performed during pregnancy are done irrespectively of the current guidelines.
