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Summary
About 1% of antenatal cervical cytology tests were positive. Examination under anesthesia with cervical biopsies is a safer alternative to antenatal conization for positive smears, avoiding risks like hemorrhage or abortion.
Area of Science:
- Obstetrics and Gynecology
- Cytopathology
Background:
- Cervical cytology screening is crucial during pregnancy.
- Abnormal cervical cytology results in pregnancy require careful management.
Purpose of the Study:
- To evaluate management strategies for abnormal cervical cytology in the antenatal period.
- To assess the safety and efficacy of cervical biopsies as an alternative to antenatal conization.
Main Methods:
- Review of 8,500 antenatal cervical cytology tests.
- Proposal of examination under anesthesia with cervical biopsies for positive smears.
- Discussion of a waiting policy for suspect smears (dyskaryosis).
Main Results:
- Approximately 1% of antenatal cervical cytology tests yielded positive or suspect results.
- Cervical biopsies under anesthesia offer an alternative to antenatal conization, mitigating risks of hemorrhage and abortion.
- A waiting policy is deemed safe, allowing for normal delivery.
Conclusions:
- Cervical biopsies under anesthesia are a viable and safer option for managing positive antenatal cervical cytology.
- Clinical and cytological follow-up is essential for patients undergoing conization-excision therapy.
- Suspect smears may resolve spontaneously or necessitate further investigation with biopsy.