Positive Smear in PregnancyBr Med J 1969; 1 doi: https://doi.org/10.1136/bmj.1.5638.216 (Published 25 January 1969) Cite this as: Br Med J 1969;1:216
- H. C. McLaren
Of 8,500 consecutive cervical cytology tests in the antenatal period a positive or suspect result was found in about 1%. For the patients with a positive smear, examination under anaesthesia and small four-quadrant cervical biopsies are proposed as an alternative to antenatal conization, with its risk of subsequent haemorrhage or abortion.
A waiting policy is safe and permits normal delivery in hospital. Clinical and cytological follow-up is a vital part of conization-excision therapy. For the suspect smear (dyskaryosis) follow-up tests may revert to normal, but others may become positive and demand biopsy.