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原帖由 kaitlyn 于 2009-6-12 10:07 发表 
Are you 100% sure? Please do not mislead other people, especially pregnant women. I am seriously told at work not to do any kinds of vaginal swabs including pap smear on pregnant women as it is dang ...
Well, I did read some articles and I wouldn't have said that if I wasn't sure. You can find the information from website of Department of Health and Ageing of Australian Government, the website advises people to discuss specific concerns with doctor but Pap smears can generally be undertaken during pregnancy to at least 28 weeks gestation:
http://www.cancerscreening.gov.au/internet/screening/publishing.nsf/Content/cervical-faqs
23. Am I able to have a Pap smear during pregnancy?
We are unable to provide you with individual medical advice, and suggest you discuss your specific concerns with your doctor. However, we can provide you with the following general information about Pap smears in pregnancy.
Pap smears can generally be undertaken during pregnancy to at least 28 weeks gestation.
Pap smears have not been associated with increased rates of miscarriage. Women who are due for a Pap smear during the pregnancy, but who do not have one, should make arrangements to have the smear at an early date after the baby is born.
http://www.cancerscreening.gov.au/internet/screening/publishing.nsf/Content/screening-pregnancy-policy
Policy for cervical screening during pregnancy
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Policy Statement
The National Cervical Screening Program recommends that cervical screening by Pap smear should be offered to every women presenting for antenatal care who has not had cervical screening within the past two years.
Key Points
The National Cervical Screening Program recommends that all women aged 18 to 69 years, who have ever been sexually active, 1 should have cervical screening by Pap smear every two years.
A cervical Pap smear should be offered to every woman receiving antenatal care who has not had cervical screening within the past two years.
The Royal Australian and New Zealand College of Obstetricians and Gynaecologists advises that women should be reassured there is no evidence that a properly collected Pap smear causes any pregnancy problems. However, they should be warned of possible spotting and minor bleeding following the Pap smear.Rationale
Cervical cancer is not common during pregnancy. However, the highest rates of cervical abnormalities occur in women of reproductive age.
Pregnancy is a time when women often have the greatest interest in their health and may avail themselves of cervical screening if it is offered. The Royal Australian and New Zealand College of Obstetricians and Gynaecologists has provided advice to the Program that a Pap smear should be offered to every well pregnant woman, without symptoms of cervical cancer, who has not had cervical screening within the past two years. This should be undertaken as part of antenatal care, ideally before 24 weeks gestation.
Screening may be undertaken at the booking visit unless there is some clinical reason such as bleeding which would preclude collecting the Pap smear. The Pap smear could then be done at a subsequent visit.
The Royal Australian and New Zealand College of Obstetricians and Gynaecologists advise health clinicians to use the method of cervical cytology collection with which they are most comfortable. |
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