Assessment Of PAP Smear In Antenatal Women

Abstract

Background:Cancer cervix is amongst the commonest cancers affecting women in India along with breast cancer.The present study was conducted to assess PAP smear in antenatal women.Materials & Methods: 78 antenatal women visiting the Department of Obstetrics & Gynecology were enrolled. Cusco’s speculum was introduced into the vagina and the cervix was visualised. Smear was collected with Ayre’s spatula. The cytological results were reported based on the Bethesda classification system 2001. Results: Age group <20 years had 16, 20-30 years had 40, 30-40 years had 12 and >40 years had 10 patients. The difference was significant (P< 0.05). Gestation age 5-10 weeks had 12, 11-15 weeks had 18, 16-20 weeks had 10, 16-20 weeks had 10, 21-25 wees had 14, 26-30 weeks had 14 and >30 weeks had 10 patients. Per speculum examination revealed healthy cervix in 72, erosion of cervix in 4 and growth in 2 cases. The difference was significant (P< 0.05). PAP smear showed nil in 54, inflammatory changes in 19, no satisfactory sample in 3, ASCUS in 1 and LSIL in 1 patient. The difference was significant (P< 0.05). Conclusion: Antenatal women should be subjected to PAP smear as chances of cervix cancer in high in them.