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  • Title: [Management of pregnant women with abnormal cervical smears. A series of 146 patients].
    Author: Baldauf JJ, Dreyfus M, Gao J, Ritter J, Philippe E.
    Journal: J Gynecol Obstet Biol Reprod (Paris); 1996; 25(6):582-7. PubMed ID: 8964955.
    Abstract:
    OBJECTIVES: Evaluation of the value of colposcopy and directed biopsy in the follow-up of pregnant women presenting with abnormal cervical smear. MATERIAL AND 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. CONCLUSION: Colposcopy with directed biopsy is a reliable tool to evaluate abnormal smear during pregnancy.
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