Develop the epidemiological profile of patients who received Pap smears during pregnancy;
Describe aspects of cytological smears performed in pregnant women;
Describe the therapeutic management in case of anomalies in the cervical smear during pregnancy.
This was a prospective, descriptive and analytical conducted from 15.01.2015 to 06.31.2015 at maternity of Nabil Choucair Health Center and the Institute Hospital institute social in Dakar. The Pap smear was performed in all patients after having given their consent explanation.
The epidemiological profile of our patient was a paucipare gestity with an average of 3 with extremes ranging from 1 to 7, an average parity of 2.4 with extremes ranging from 1 to 7. In our series all patients were married and had their first sexual intercourse at 21.7 years. The average teme of pregnancy was 15.4 SA with extremes ranging from 6-32 SA. In history, only 5 patients (7.4%) had achieved a Pap smear. The Pap smear during pregnancy was normal in 88.7% and found abnormalities in 11.3%. The anomalies found mainly interested squamous cells and were divided into low-grade lesions in 57.1% and abnormal squamous cells of undetermined significance in 42.1%. Colposcopy was normal and satisfactory in 4 patients (50%) and found a unique transformation of degree 1 in 2 patients (25%) and a unique transformation of degree 2 in 2 patients (25%). Therapeutically a loop diathermy conization the associated banding was performed for severe dysplasia or injury the pathologist could not eliminate micro-invasion. In the postpartum period, all dysplastic cervical lesions diagnosed during pregnancy had regressed.
Pregnancy is an extraordinary opportunity to screen for cervical cancer during antenatal care