Management of pregnant women with abnormal cervical smears. a series of 146 patients
Baldauf, J.J.; Dreyfus, M.; Gao, J.; Ritter, J.; Philippe, E.
Journal de Gynecologie Obstetrique et Biologie de la Reproduction 25(6): 582-587
1996
ISSN/ISBN: 0368-2315 PMID: 8964955 Document Number: 460300
Evaluation of the value of colposcopy and directed biopsy in the follow-up of pregnant women presenting with abnormal cervical smear. Retrospective study of 146 patients examined by colposcopy during pregnancy between January 1985 and December 1994. Colposcopy was satisfactory in 86% of patients. Colposcopic impression was concordant with the final diagnosis, overestimated and underestimated in 69%, 18% and 13% of the cases, respectively. Directed biopsies were performed in 115 patients. In one case, bleeding necessitated vaginal packing for 24 hours. Directed biopsy correlated well with the final diagnosis in 87% of low grade CIN and in 90% of high grade CIN. In 4 patients, conisation was performed between 10 and 16 weeks of gestation without subsequent obstetrical complications. Colposcopy with directed biopsy is a reliable tool to evaluate abnormal smear during pregnancy.