title: [Missed opportunities for cervical cancer prevention during prenatal care].
abstract: Pregnancy constitutes an excellent opportunity for the prevention of cervical carcinoma since the gynecological examination is part of routine prenatal care. A transversal study was conducted in which a total of 445 postnatal women were interviewed using standardized questionnaires. The prevalence of an up-to-date cytopathological exam was 38.9% at the beginning of pregnancy, reaching 59.1% during the postnatal period (p>0.001). Postnatal women aged 19 years or less, non-white, with less than 11 years schooling, family income of less than one minimum wage, sexually active at 15 years of age or less, with the beginning of prenatal care after the 1st trimester, and receiving prenatal care at healthcare units of the Unified Health System had a lower prevalence of cytopathological examination. Adjusted analysis revealed that the variables under study were not significantly associated with cytopathological coverage, though the incidence of prenatal care showed a prevalence ratio of 1.18 (95% CI: 0.98-1.42). The local health service proved ineffective, recvealing the need to increase cytopathological coverage and train health professionals regarding the importance of routine prenatal procedures.
authors.affiliation: Departamento Materno- Infantil, Faculdade de Medicina, Fundação Universidade Federal do Rio Grande. Av. Visconde de Paranaguá 102, Centro. 96020-550 Rio Grande RS. carlavg@brturbo.com.br
authors.forename: Carla Vitola
authors.initials: CV
authors.lastname: Gonçalves
authors.forename: Geraldo
authors.initials: G
authors.lastname: Duarte
authors.forename: Juvenal Soares Dias
authors.initials: JS
authors.lastname: da Costa
authors.forename: Silvana Maria
authors.initials: SM
authors.lastname: Quintana
authors.forename: Alessandra Cristina
authors.initials: AC
authors.lastname: Marcolin
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D014626:Vaginal Smears / Q000706:statistics & numerical data*; D055815:Young Adult