ABNORMAL CERVICAL CYTOLOGY IN PREGNANCY - EXPERIENCE OF 811 CASES

This paper reviews our hospital's experience spanning 15 years and inv olving 811 women referred with abnormal cervical cytology in pregnancy . It supports the safety and accuracy of managing dysplasia in pregnan cy with colposcopy, directed punch biopsy and deferral of treatment un til the postpartum period. The histologically-proven progression in pr egnancy to a higher grade of dysplasia postpartum was 7%. None of the women are known to have developed microinvasive or invasive cancer bet ween antenatal assessment and postpartum review. Of these 811 women, 1 6% were lost to follow-up, 1 of whom subsequently represented 4 years later with invasive cervical cancer.