Cervical cytologic profile of family planning acceptors aged around thirty years
Agrawal, A.; Swain, S.; Dubey, S.; Rastogi, B.L.
Indian Journal of Maternal and Child Health Official Publication of Indian Maternal and Child Health Association 3(2): 43-47
1992
ISSN/ISBN: 0970-8928 PMID: 12288487 Document Number: 334031
A prospective study is being conducted at the Post Partum Program Unit of the Department of Obstetrics and Gynecology, Banaras Hindu University Hospital, in order to screen the acceptors of various methods of family planning for cervical neoplasia. 100 patients were selected at random provided that the patient was over 28 years old and was herself or her partner using some method of contraception. Besides a detailed clinical history and physical examination, each patient was administered a Papanicolaou smear from both ecto- and endo cervix. IUDs were used by 41% of cases and 56% of cases had had a tubal ligation. 62% of cases had normal cervical cytologic smears, 26% had inflammatory smears, and 11% had dyskaryotic smears (moderate and severe 5.5% each). The detection rate of cervical malignancy was 1%. Three patients were called back and repeat smears confirmed earlier cytologic diagnosis. The authors, therefore, recommend opportunistic screening of women for cervical carcinoma at postpartum clinics. This is likely to contribute significantly toward early detection and treatment of cervical carcinoma, thereby reducing mortality and morbidity among women due to cervical malignancy.