Original scientific paper
The Effect of Delivery on Regression of Abnormal Cervical Cytologic Findings
T. Strinić
D. Buković
D. Karelović
L. Bojić
I. Stipić
Abstract
The purpose of this study was to determine whether abnormal antepartum cervical
cytologic findings result in differing postpartum regression rates. Between 1993 and
2000, 107 pregnant women with antepartum abnormal cervical cytologic findings were
identified. Papanicolaou smear data were separated into three groups by use of the CIN
classification system. Postpartum regression rates of antepartum Papanicolaou smears
were analyzed six months after delivery. Normalization of Papanicolaou smears in the
postpartum period were observed in 50 of 107 women (46.7%). Regression of cervical cytologic
findings was noted in 61 of 107 women (57%). Respectively, persistence of Papanicolaou
smear was noted in 43 of 107 patients (40%). Only 3 of 107 (3%) antepartum
findings progressed after delivery. Desquamation of the cervical epithelium or enhancement
of a localized reparative immunologic response after vaginal delivery could play
an important role in the spontaneous regression of cervical dysplasia in the postpartum
period.
Keywords
Hrčak ID:
28301
URI
Publication date:
16.12.2002.
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