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Published on: January 12, 2018
Abnormal cervical cytology is associated with preterm delivery: A population based study
Tagrid Jar-Allah1, Cecilia Kärrberg1, Johanna Wiik2,3
1Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Women with abnormal cervical cytology face a higher risk of preterm delivery. This includes early preterm birth, premature rupture of membranes, and low birthweight, underscoring the importance of cervical health monitoring for obstetric outcomes.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Health
- Cytopathology
Background:
- Cervical intraepithelial neoplasia (CIN) and abnormal cervical cytology are linked to adverse obstetric outcomes, particularly preterm delivery.
- The association between varying grades of abnormal cervical cytology and specific obstetric complications requires further elucidation.
Purpose of the Study:
- To investigate the association between different severities of abnormal cervical cytology and subsequent obstetric outcomes, including preterm delivery.
- To quantify the risk of preterm birth, low birthweight, and other adverse outcomes in women with abnormal cervical cytology compared to those with normal cytology.
Main Methods:
- A historical register-based cohort study in Sweden involving 19,822 women with abnormal cervical cytology and 39,644 matched controls.
- Data linkage between the Swedish National Cervical Screening Registry, Swedish Medical Birth Register, and Statistics Sweden.
- Multivariable log binomial regression analyses were used to assess outcomes such as spontaneous preterm delivery (before 37 and 34 weeks), low birthweight, and preterm premature rupture of membranes.
Main Results:
- Women with abnormal cervical cytology had a significantly higher risk of preterm delivery before 37 weeks (adjusted RR 1.30).
- Higher grades of abnormal cervical cytology were associated with a greater risk of preterm delivery.
- Significant associations were found for early preterm delivery (before 34 weeks), preterm premature rupture of membranes, and low birthweight.
Conclusions:
- Abnormal cervical cytology is associated with an increased risk of preterm delivery and other adverse obstetric outcomes.
- The severity of cervical cytology abnormalities correlates with the magnitude of risk for preterm birth.
- Further research is warranted to explore the role of treatment for cervical abnormalities in mitigating these obstetric risks.
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