COLPOSCOPY IN THE MANAGEMENT OF THE PREGNANT PATIENT WITH ABNORMAL CERVICAL CYTOLOGY

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Abstract
Patients (30) with abnormal cervical cytology had a colposcopy during pregnancy. Their management during and after pregnancy is described and supports the contention that the introduction of a colposcopy service safely permits a greater selectivity in management without recourse to operative intervention during pregnancy. In 1 patient a preclinical invasive squamous carcinoma of the cervix was diagnosed by colposcopy. In another 3, in whom colposcopy could not exclude the presence of invasion, a wedge biopsy under anesthesia and 2 punch biopsies without anesthesia had to be performed. In the remaining 26 patients, the possibility of invasion could be excluded by colposcopy and further treatment deferred until after pregnancy.

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