BibTex RIS Cite

Relationship Between The Postpartum Servical Smear and The Delivery Route: Vaginal or Cesarean

Year 2013, Volume: 18 Issue: 3, 164 - 167, 01.06.2013

Abstract

Objective: The postpartum period, just like pregnancy, during which the patient is in frequent contact with health care personnel, provides an invaluable opportunity for cervical screening. While vaginal birth is reported to have a clearing effect on preexisting cervical lesions, some studies suggest that when compared to deliveries by caesarean section vaginal delivery has no obvious benefits on cervical lesions. In this study we aimed to investigate the effects of delivery routes, vaginal or caesarean section, on cervical smear results. Material and Method: In this retrospective case control study, a total of 48 patients with vaginal delivery were compared to 48 deliveries by cesarean route with respect to age, gravidity, parity, history of dilatation and curettage, neonatal birth weight, postpartum maternal complaints and results of postpartum cervical smears. Results: Postpartum maternal complaints were significantly higher with vaginal deliveries when compared to the cesarean group, p=0.0001. Among these complaints, reported dyspareunia was higher in the vaginal delivery group when compared to the cesarean group, p=0.0007. The results of the postpartum cervical smears were similar between the groups, p>0.05. None of the smear results showed low or high grade cervical intraepithelial neoplasia. Conclusion: In this study based on the evaluation of postpartum cervical smear results, cervical effects of vaginal and caesarean deliveries were found to be the same and vaginal delivery was not shown to offer benefits in terms of cervical healing when compared to delivery by caesarean section.

References

  • Kobayashi TK, Yuasa M, Fujimoto T, et al. Cytologic findings in post partum smears. Acta Cytol 1980; 24: 328–34.
  • Michael CW, Esfahani FM. Pregnancy-related changes: A retrospective review of 278 Cervical Smears. Diag Cytopathol 1997; 17: 99-107.
  • Kaplan KJ, Dainty LA, Dolinsky B, et al. Prognosis and recurrence risk for patients with cervical squamous ıntraepithelial lesions diagnosed during pregnancy. Cancer 2004; 102: 228Haam Von E. The cytology of pregnancy. Acta Cytol 1961; 5: 320–
  • Papanicolaou GN. Atlas of exfoliative cytopathology. Cambridge, MA: Harvard University Press. 1954: GVII.
  • Schneider V, Barnes LA. Ectopic decidual reaction of uterine cervix; frequency and cytologic presentation. Acta Cytol 1981; 25: 616–22.
  • Jazayeri A, Heffron JA, Harnetty P, et al. Antepartum and postpartum papanicolaou smears. Are they both necessary? J Reprod Med 1999; 44: 879–82.
  • Wright TC, Cox JT, Massad LS, Twiggs LB, Wilkinson EJ. 2001 consensus guidelines for the management of women with cervical cytological abnormalities. ASCCP-Sponsored Consensus Conference. JAMA 2002; 287: 2120-9.
  • Chung SM, Son GH, Nam EJ, et al. Mode of delivery influences the regression of abnormal cervical cytology. Gynecol Obstet Invest 2011; 72: 234-8.
  • Ueda Y, Enomoto T, Miyatake T, et al. Postpartum outcome of cervical intraepithelial neoplasia in pregnant women determined by route of delivery. Reprod Sci 2009; 16: 1034-9.
  • Siristatidis Ch, Vitoratos N, Michailidis E, et al. The role of the mode of delivery in the alteration of intrapartum pathological cervical cytologic findings during the postpartum period. Eur J Gynaecol Oncol 2002; 23: 358-60.
  • Everson JA, Stika CS, Lurain JR. Postpartum evolution of cervical squamous intraepithelial lesions with respect to the route of delivery. Low Genit Tract Dis 2002; 6: 212-7.
  • Gajewska M, Jabiry-Zieniewicz Z. Pregnancy and delivery course with pregnant women with abnormal cervical cytology. Ginekol Pol 2002; 73: 320-4.
  • Solomon D, Davey D, Kurman R, et al. Forum group members; Bethesda 2001 Workshop. The 2001 bethesda system: Terminology for reporting results of cervical cytology. JAMA 2002; 24: 2114-9.

Vajinal ve Sezaryen Doğumun Postpartum Servikal Yayma Sonuçlarına Etkisi

Year 2013, Volume: 18 Issue: 3, 164 - 167, 01.06.2013

Abstract

Amaç: Postpartum dönem, tıpkı gebelik dönemi gibi, hastanın sağlık personeli ile sık irtibat kurduğu, servikal tarama için kaçırılmayacak bir süreçtir. Vajinal doğumun, servikste var olan lezyonları giderici etkiye sahip olduğu söylenirken, sezaryene oranla etkisinin olmadığı da ifade edilmektedir. Bu çalışmada, doğum şeklinin, postpartum servilak yayma sonuçlarına etkisini belirlemeye çalıştık. Gereç ve Yöntem: Retrospektif vaka kontrol yöntemi ile gerçekleştirilen bu çalışmada, toplam 48 vajinal doğum yapmış hasta, yine 48 sezaryen ile doğum yapmış hasta ile yaş, gravida, parite, geçirilmiş küretaj sayısı, bebek doğum ağırlığı, postpartum maternal şikayetler ve postpartum servikal yayma sonuçları açısından karşılaştırıldı. Bulgular: Postpartum maternal şikayetler, vajinal doğum grubunda, sezaryen grubuna oranla, istatistiksel olarak daha fazla tespit edildi (p=0.0001), bunların içinde disparöni, vajinal doğum sonrası, sezaryene oranla anlamlı olarak daha sık ifade edildi, p=0.0007. Gruplar arasındaki, servikal yayma değerlendirme sonuçları benzer çıktı, p>0.05. Hiçbir hastada, düşük yada yüksek dereceli servikal neoplazi tespit edilmedi. Sonuç: Postpartum servikal yayma sonuçları incelenerek yapılan bu çalışmada, doğumun vajinal veya sezaryen ile gerçekleşmesinin, serviksi aynı şekilde etkilediğini, vajinal doğumun, serviksteki hücresel iyileşmelerde, sezaryenden daha üstün olmadığını belirledik.

References

  • Kobayashi TK, Yuasa M, Fujimoto T, et al. Cytologic findings in post partum smears. Acta Cytol 1980; 24: 328–34.
  • Michael CW, Esfahani FM. Pregnancy-related changes: A retrospective review of 278 Cervical Smears. Diag Cytopathol 1997; 17: 99-107.
  • Kaplan KJ, Dainty LA, Dolinsky B, et al. Prognosis and recurrence risk for patients with cervical squamous ıntraepithelial lesions diagnosed during pregnancy. Cancer 2004; 102: 228Haam Von E. The cytology of pregnancy. Acta Cytol 1961; 5: 320–
  • Papanicolaou GN. Atlas of exfoliative cytopathology. Cambridge, MA: Harvard University Press. 1954: GVII.
  • Schneider V, Barnes LA. Ectopic decidual reaction of uterine cervix; frequency and cytologic presentation. Acta Cytol 1981; 25: 616–22.
  • Jazayeri A, Heffron JA, Harnetty P, et al. Antepartum and postpartum papanicolaou smears. Are they both necessary? J Reprod Med 1999; 44: 879–82.
  • Wright TC, Cox JT, Massad LS, Twiggs LB, Wilkinson EJ. 2001 consensus guidelines for the management of women with cervical cytological abnormalities. ASCCP-Sponsored Consensus Conference. JAMA 2002; 287: 2120-9.
  • Chung SM, Son GH, Nam EJ, et al. Mode of delivery influences the regression of abnormal cervical cytology. Gynecol Obstet Invest 2011; 72: 234-8.
  • Ueda Y, Enomoto T, Miyatake T, et al. Postpartum outcome of cervical intraepithelial neoplasia in pregnant women determined by route of delivery. Reprod Sci 2009; 16: 1034-9.
  • Siristatidis Ch, Vitoratos N, Michailidis E, et al. The role of the mode of delivery in the alteration of intrapartum pathological cervical cytologic findings during the postpartum period. Eur J Gynaecol Oncol 2002; 23: 358-60.
  • Everson JA, Stika CS, Lurain JR. Postpartum evolution of cervical squamous intraepithelial lesions with respect to the route of delivery. Low Genit Tract Dis 2002; 6: 212-7.
  • Gajewska M, Jabiry-Zieniewicz Z. Pregnancy and delivery course with pregnant women with abnormal cervical cytology. Ginekol Pol 2002; 73: 320-4.
  • Solomon D, Davey D, Kurman R, et al. Forum group members; Bethesda 2001 Workshop. The 2001 bethesda system: Terminology for reporting results of cervical cytology. JAMA 2002; 24: 2114-9.
There are 13 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Özlem Gün Eryılmaz This is me

Saynur Yılmaz This is me

Sibel Özler This is me

Cavidan Gülerman This is me

Publication Date June 1, 2013
Published in Issue Year 2013 Volume: 18 Issue: 3

Cite

APA Eryılmaz, Ö. G., Yılmaz, S., Özler, S., Gülerman, C. (2013). Vajinal ve Sezaryen Doğumun Postpartum Servikal Yayma Sonuçlarına Etkisi. Fırat Tıp Dergisi, 18(3), 164-167.
AMA Eryılmaz ÖG, Yılmaz S, Özler S, Gülerman C. Vajinal ve Sezaryen Doğumun Postpartum Servikal Yayma Sonuçlarına Etkisi. Fırat Tıp Dergisi. June 2013;18(3):164-167.
Chicago Eryılmaz, Özlem Gün, Saynur Yılmaz, Sibel Özler, and Cavidan Gülerman. “Vajinal Ve Sezaryen Doğumun Postpartum Servikal Yayma Sonuçlarına Etkisi”. Fırat Tıp Dergisi 18, no. 3 (June 2013): 164-67.
EndNote Eryılmaz ÖG, Yılmaz S, Özler S, Gülerman C (June 1, 2013) Vajinal ve Sezaryen Doğumun Postpartum Servikal Yayma Sonuçlarına Etkisi. Fırat Tıp Dergisi 18 3 164–167.
IEEE Ö. G. Eryılmaz, S. Yılmaz, S. Özler, and C. Gülerman, “Vajinal ve Sezaryen Doğumun Postpartum Servikal Yayma Sonuçlarına Etkisi”, Fırat Tıp Dergisi, vol. 18, no. 3, pp. 164–167, 2013.
ISNAD Eryılmaz, Özlem Gün et al. “Vajinal Ve Sezaryen Doğumun Postpartum Servikal Yayma Sonuçlarına Etkisi”. Fırat Tıp Dergisi 18/3 (June 2013), 164-167.
JAMA Eryılmaz ÖG, Yılmaz S, Özler S, Gülerman C. Vajinal ve Sezaryen Doğumun Postpartum Servikal Yayma Sonuçlarına Etkisi. Fırat Tıp Dergisi. 2013;18:164–167.
MLA Eryılmaz, Özlem Gün et al. “Vajinal Ve Sezaryen Doğumun Postpartum Servikal Yayma Sonuçlarına Etkisi”. Fırat Tıp Dergisi, vol. 18, no. 3, 2013, pp. 164-7.
Vancouver Eryılmaz ÖG, Yılmaz S, Özler S, Gülerman C. Vajinal ve Sezaryen Doğumun Postpartum Servikal Yayma Sonuçlarına Etkisi. Fırat Tıp Dergisi. 2013;18(3):164-7.