Positive Smear in Pregnancy

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Abstract
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.

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