Pap smear examinations in women with near-term pregnancy.

Abstract

Between November 28, 1983 and August 20, 1985 the Pap smears of 263 pregnant women at Siriraj Hospital were examined. They ranged in age from 15 to 40 years, with the mean age being 24.2 +/- 4.9 years. Pre-term pregnancies (24-37 weeks, 127 cases), at-term (38-42 weeks, 115 cases) and post-term (43-44 weeks, 21 cases) had inflammation and/or infection in 26.8, 40.0 and 23.8 per cent of each period, respectively; however, hormonal evaluation could not be carried out no matter what the period of pregnancy. More than half (60.6%) of the women with pre-term pregnancy determined by history showed a pre-term cell pattern, 10.2 per cent at-term and 2.4 per cent post-term. Forty-two point six per cent of the women with at-term pregnancy determined by history showed the at-term cell pattern, 13.0 per cent showed the post-term pattern and 4.4 per cent the pre-term pattern; and 28.6 per cent of the women with post-term pregnancy determined by history showed the cell post-term pattern, 38.1 per cent the at-term pattern and 9.5 per cent the pre-term pattern.