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Original ArticleOpen Access
Prevalence of Abnormal Cervical Cytology by Liquid Based Cytology in the Antenatal Care Clinic, Thammasat University Hospital
Khaengkhor P 
,
Mairaing K ,
Suwannarurk K ,
Thaweekul Y ,
Poomtavorn Y ,
Pattaraarchachai J ,
Bhamarapravatana K
,
Mairaing K ,
Suwannarurk K ,
Thaweekul Y ,
Poomtavorn Y ,
Pattaraarchachai J ,
Bhamarapravatana K Objective: To determine the prevalence of abnormal cervical cytology by liquid based cytology(LBC) in pregnant women whoattended the antenatal care clinic at Thammasat University Hospital
Material and Method: LBC was performed on specimens from the collecting vial containing preserved cell solution (Cytyc,Boxborough, MA) in pregnant women who attended antenatal care at the antenatal care clinic, Thammasat UniversityHospital between March and July 2010. One hundred forty three pregnant women were recruited in the present study. Allcytological reports were reviewed by senior cytopathologists for accurate diagnosis using the Bethesda System 2001 criteria.Patients with abnormal results as “abnormal squamous/glandular cells of undetermined significant” or more over werereferred for colposcopic examination.
Results: One hundred forty three pregnant women participated in the present study. The average age was 27.09 years. Therewere 10 abnormal Pap smear results with four, five, and one cases of ASC-US, LSIL and HSIL respectively. The prevalenceof abnormal cervical cytology in this investigation was 7% with 0.7% high-grade cervical intraepithelial neoplacia. Only 6%of participants had the correct understanding of the necessity of Pap smear testing. Thirty-one percent of multiparouspregnant women in the present study had no previous Pap smear screening. The majority of participants had coitarche beforethe age of 20.
Conclusion: The prevalence of abnormal cervical cytology in pregnant patients attending the antenatal care clinic atThammasat University Hospital was 7%. The cervical cytology and related education were highly recommended in antenatalcare clinic to increase cervical cancer screening coverage among reproductive age women.
Keywords: Prevalence, Abnormal cervical cytology, Liquid based cytology, Pregnancy
Material and Method: LBC was performed on specimens from the collecting vial containing preserved cell solution (Cytyc,Boxborough, MA) in pregnant women who attended antenatal care at the antenatal care clinic, Thammasat UniversityHospital between March and July 2010. One hundred forty three pregnant women were recruited in the present study. Allcytological reports were reviewed by senior cytopathologists for accurate diagnosis using the Bethesda System 2001 criteria.Patients with abnormal results as “abnormal squamous/glandular cells of undetermined significant” or more over werereferred for colposcopic examination.
Results: One hundred forty three pregnant women participated in the present study. The average age was 27.09 years. Therewere 10 abnormal Pap smear results with four, five, and one cases of ASC-US, LSIL and HSIL respectively. The prevalenceof abnormal cervical cytology in this investigation was 7% with 0.7% high-grade cervical intraepithelial neoplacia. Only 6%of participants had the correct understanding of the necessity of Pap smear testing. Thirty-one percent of multiparouspregnant women in the present study had no previous Pap smear screening. The majority of participants had coitarche beforethe age of 20.
Conclusion: The prevalence of abnormal cervical cytology in pregnant patients attending the antenatal care clinic atThammasat University Hospital was 7%. The cervical cytology and related education were highly recommended in antenatalcare clinic to increase cervical cancer screening coverage among reproductive age women.
Keywords: Prevalence, Abnormal cervical cytology, Liquid based cytology, Pregnancy
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