Cervical cancer screening in pregnancy at the maternity clinics of Nabil Choucair health center and the Institute of Social Hygiene of Dakar, Senegal: a study on 67 cases

Authors

  • Omar Gassama Department of Obstetrics and Gynecology, Obstetrics and Gynecology Clinic, Teaching Hospital Aristide Le Dantec, Cheikh Anta Diop University, Dakar, Senegal
  • Mouhamadou Mansour Niang Department of Obstetrics and Gynecology, Obstetrics and Gynecology Clinic, Teaching Hospital Aristide Le Dantec, Cheikh Anta Diop University, Dakar, Senegal
  • Marie Edouard Faye Dieme Department of Obstetrics and Gynecology, Obstetrics and Gynecology Clinic, Teaching Hospital Aristide Le Dantec, Cheikh Anta Diop University, Dakar, Senegal
  • Ousmane Thiam Department of Obstetrics and Gynecology, Obstetrics and Gynecology Clinic, Teaching Hospital Aristide Le Dantec, Cheikh Anta Diop University, Dakar, Senegal
  • Mamour Gueye Department of Obstetrics and Gynecology, Obstetrics and Gynecology Clinic, Teaching Hospital Aristide Le Dantec, Cheikh Anta Diop University, Dakar, Senegal
  • Mame Diarra Department of Obstetrics and Gynecology, Obstetrics and Gynecology Clinic, Teaching Hospital Aristide Le Dantec, Cheikh Anta Diop University, Dakar, Senegal
  • Ndiaye Gueye Department of Obstetrics and Gynecology, Obstetrics and Gynecology Clinic, Teaching Hospital Aristide Le Dantec, Cheikh Anta Diop University, Dakar, Senegal
  • Philippe Marc Moreira Department of Obstetrics and Gynecology, Obstetrics and Gynecology Clinic, Teaching Hospital Aristide Le Dantec, Cheikh Anta Diop University, Dakar, Senegal
  • Djibril Diallo Department of Obstetrics and Gynecology, Obstetrics and Gynecology Clinic, Teaching Hospital Aristide Le Dantec, Cheikh Anta Diop University, Dakar, Senegal
  • Mamadou Lamine Cisse Department of Obstetrics and Gynecology, Obstetrics and Gynecology Clinic, Teaching Hospital Aristide Le Dantec, Cheikh Anta Diop University, Dakar, Senegal
  • Cheickh Tidiane Cisse Department of Obstetrics and Gynecology, Obstetrics and Gynecology Clinic, Teaching Hospital Aristide Le Dantec, Cheikh Anta Diop University, Dakar, Senegal
  • Jean Charles Moreau Department of Obstetrics and Gynecology, Obstetrics and Gynecology Clinic, Teaching Hospital Aristide Le Dantec, Cheikh Anta Diop University, Dakar, Senegal

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20172303

Keywords:

Cervical cancer, Colposcopy, Conization, Pap smear, Pregnancy

Abstract

Background: This study aims were to develop the epidemiological profile of patients who received Pap smears during pregnancy, to describe aspects of cytological smears performed in pregnant women and to describe the therapeutic management in case of anomalies in the cervical smear during pregnancy.

Methods: This was a prospective, descriptive and analytical study conducted from January 15, 2015 to June 31, 2015 at maternity of Nabil Choucair Health Centre and the Institute of Social Hygiene in Dakar. The Pap smear was performed in all patients who had given their consent to the experience. The parameters studied concerned socio-demographic aspects, gynecological and obstetric background, gestational age at the time of collection, cervico-vaginal smear results, diagnostic and therapeutic management of cytological and histological abnormalities. The data collected on a survey sheet prepared for this purpose were entered and analyzed through the version 3.5.3 of Epi info software.

Results: During the study period, 67 pregnant women had received a Pap smear. The epidemiological profile of our patient was a paucipare gestity with an average of 3 with extremes ranging from 1 to 7, an average parity of 2.4 with extremes ranging from 1 to 7. The mean age of pregnancy was 15.4 weeks of amenorrhea (range of 6 and 32 weeks). Only 5 patients (7.4%) had already received a cervical-vaginal swab before the study. The smear was normal in 88.7% of the cases but got abnormalities in 11.3% of the cases. The abnormalities were mainly found in squamous cells and were divided into low-grade lesions (57.1%) and skew-cell abnormalities whose meaning was undetermined (42.1%). Colposcopy was performed in 8 patients. Colposcopy was normal and satisfactory in 4 patients (50%) and identified as atypical grade 1 transformation in 2 patients (25%) and an atypical grade 2 transformation in 2 patients (25%). From a therapeutic point of view, diathermic loop conduction associated with strapping was performed in one patient (12.5%) for severe dysplasia. In postpartum, all dysplastic cervical lesions diagnosed during pregnancy had declined.

Conclusions: In the context of our study, where there is no organized screening policy for cervical cancer, antenatal clinics are an excellent screening opportunity to seize.

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Published

2017-05-25

How to Cite

Gassama, O., Niang, M. M., Faye Dieme, M. E., Thiam, O., Gueye, M., Diarra, M., Gueye, N., Moreira, P. M., Diallo, D., Cisse, M. L., Cisse, C. T., & Moreau, J. C. (2017). Cervical cancer screening in pregnancy at the maternity clinics of Nabil Choucair health center and the Institute of Social Hygiene of Dakar, Senegal: a study on 67 cases. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 6(6), 2137–2142. https://doi.org/10.18203/2320-1770.ijrcog20172303

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Original Research Articles