Role of cervical cancer screening during prenatal checkups for infectious diseases: a retrospective, descriptive study

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Authors
Maruyama, Yasuyo
Sukegawa, Akiko
Yoshida, Hiromi
Iwaizumi, Yukiha
Nakagawa, Sayako
Kino, Tamina
Suzuki, Yukio
Kubota, Kazumi
Hirabuki, Tomoo
Mizushima, Taichi
Issue Date
2022-05-11
Type
Article
Language
en_US
Keywords
Pregnant Women , Cervical Cytology , Infectious Diseases , Human Papillomavirus , Sampling Instrument , Screening , Cervical Cancer
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Abstract
Objective: This study was conducted to evaluate the status and role of cervical cytology affected by human papillomavirus infection and other infectious diseases screened during routine prenatal checkups. Methods: We retrospectively examined medical records containing the screening results for infectious diseases and cervical cancer in women who delivered neonates in our hospital from 2014 to 2017. Results: Among 3393 deliveries, 18.8% of women underwent a regular cervical cancer screening within 1 year of becoming pregnant, and 2641 women underwent a cervical cytology screening during this pregnancy. The cytological diagnostic results showed that 2562 women (97.0%) were negative for intraepithelial lesions or malignancy, whereas 79 (3.0%) had abnormal results. Of those with abnormal cytology results, 70 had abnormal cytology that was newly detected in this pregnancy, and 42 had grade ≥1 cervical intraepithelial neoplasia lesions. Spatulas were the most frequently used cytological sampling instruments, followed by cotton swabs. Cervical cytology revealed no major adverse reactions during these pregnancies. Conclusions: Our results confirm the importance of screening for infectious diseases during pregnancy. Only 20% of the women underwent a regular pre-pregnancy cervical cytology screening. Cervical cytology screening during pregnancy may currently be playing a crucial role in preventing cervical cancer in Japan.
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Maruyama, Y., Sukegawa, A., Yoshida, H., Iwaizumi, Y., Nakagawa, S., Kino, T., Suzuki, Y., Kubota, K., Hirabuki, T., Mizushima, T., & Miyagi, E. (2022). Role of cervical cancer screening during prenatal checkups for infectious diseases: A retrospective, descriptive study. The Journal of international medical research, 50(5), 3000605221097488. https://doi.org/10.1177/03000605221097488
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The Journal of International Medical Research
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