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2014, Number s3

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Gac Med Mex 2014; 150 (s3)

Behavior of cervical intraepithelial neoplasia in pregnant adolescents and its persistence after an obstetric event

Machain-Loera A, Jiménez-Rodríguez A, Huerta-Casillas FR, Barajas-Serrano TL, Barrera-de León JC

Language: Spanish
References: 21
Page: 288-292
PDF size: 274.94 Kb.


ABSTRACT

Objective: To observe the behavior of cervical intraepithelial neoplasia in pregnant adolescents and the persistence before the delivery. Materials and Methods: A cross-sectional study including 47 pregnant adolescents with NIC-positive results diagnosed by colposcopy during pregnancy with subsequent evaluation before the delivery. Nonrandom sampling of consecutive cases. Descriptive statistics with central and dispersal measures. Results: In total, 156 pregnant adolescents were studied, of which 30% (n = 47) had positive results to NIC with subsequent evaluation. Ages 18 ± 1.5 years, primiparous 77%, sexual activity initiation 15.6 ± 1.6 years old, sexual partners 1 (1-6), smoking and alcoholism 21%. At the beginning of pregnancy, 98% had NIC I results and 2% had NIC II by colposcopy. After delivery, 13% had normal results and 87% remained in NIC I. Conclusion: The findings suggest that in pregnant adolescents there exists a natural dysplasia history as in pregnant women. Most of the lesions are NIC I and don’t modify the evolution, with some regressing after the delivery.


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