Re: Paps in pregnancy

From: dahmd@gate.net
Wed Oct 16 13:48:14 1996


In article richardc@bcm.tmc.edu (Richard Chudacoff, MD) writes:

>I've been looking for my reference for the lack of endocervical component on
>pap smears at new OB exams. We are seeing a lot of these results, mostly in
>our late enrollment patients.

Rick:

I rarely see this anymore, except when a swab, rather than a brush, is used. I use the cytobrush on *all* patients and rarely see a lack of endocervical cells. I recall a reference a few years back that the incidence of atypical endocervical cells on paps (non-pregnant patients) was 0.4% While this number is low, almost 1/2 of these patients had significant dysplasia, and often the endocervical dysplasia was associated with an ectocervical dysplasia as well.

If the patient has a negative history for dysplasia, I repeat the pap postpartum.

Ashley

D. Ashley Hill, M.D. dahmd@gate.net Orlando, FL





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 05:19:44 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.