If the woman has received a 'refer to colposcopy' recommendation and is now pregnant, she should always be referred to colposcopy and she should be encouraged
Cervical cytology is the method of choice to screen for cervical cancer and dysplasia The identification of an individual with an abnormal pap smear
Pregnancy-related physiologic changes are well recognized How- ever, the normal range of changes as reflected in the cervical smear
During pregnancy, a smear should be taken if the woman is due to have a cervical screening test according to the National Cervical Screening Programme
You may be in one of the following situations: • I have had an abnormal smear Sometimes women become pregnant in between having their smear test and finding
43626_7CS_PUB_SC_3GN4CervicalScreeninginrelationtoPregnancyBreastfeedingMiscarriage.pdf
*Please note, throughout this document, where we refer to 'women', we mean 'women, or people with a cervix'.
Guidance Note 4
Cervical Screening in relation to pregnancy / breastfeeding / miscarriage Women with a negative screening history or women who have never been screened may defer their cervical screening test until they are (3) three months post-natal. If a previous screening test was abnormal and in the interim the woman becomes pregnant, then please use the algorithm below to guide practice. If the woman has received a 'refer to colposcopy' recommendation and is now pregnant, she should always be referred to colposcopy and she should be encouraged to attend her appointment. If a woman has had a miscarriage and is due a screening test, it is advisable to delay the screening test until 3 three months after the miscarriage. If the woman is breastfeeding and is due a screening test, wait until she is
3 months post-natal.
A woman does not require a screening test when she is postnatal unless she is due to have a screening test within her call, re -call recommendations.
CS/PUB/SC-3 Rev 4 1 of 1 Feb 2020
HPV doesn't affect pregnancy outcome
HPV Positive / Cytology
Negative
Normal recall 1 year or 12
weeks post-delivery or miscarriage
HPV Positive / Cytology
Positive
Refer to colposcopy