[Management of pregnant women with abnormal cervical smears. A series of 146 patients].
OBJECTIVE
Evaluation of the value of colposcopy and directed biopsy in the follow-up of pregnant women presenting with abnormal cervical smear.


METHODS
Retrospective study of 146 patients examined by colposcopy during pregnancy between January 1985 and December 1994.


RESULTS
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.


CONCLUSIONS
Colposcopy with directed biopsy is a reliable tool to evaluate abnormal smear during pregnancy.
Baldauf
J J
JJ
Service de Gynécologie-Obstétrique 1, Hôpital de Hautepierre, Hôpitaux Universitaires, Strasbourg.
Dreyfus
M
M
Gao
J
J
Ritter
J
J
Philippe
E
E
D000293:Adolescent; D000328:Adult; D001706:Biopsy; D003127:Colposcopy; D019092:Conization; D005260:Female; D006801:Humans; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology* / Q000601:surgery; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000601:surgery; D014626:Vaginal Smears; D002578:Uterine Cervical Dysplasia / Q000473:pathology* / Q000601:surgery
La prise en charge des femmes enceintes avec un frottis cervical anormal. A propos d'une série de 146 patientes.