The postpartum Papanicolaou smear.

B. D. Weiss, J. H. Senf, W. Udall

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


This study was performed to evaluate the importance of obtaining postpartum Papanicolaou (Pap) smears routinely. Four hundred eighty-nine patients receiving pregnancy care had a normal prenatal Pap smear and a repeat Pap smear at their postpartum visit. Twenty-four (4.9 percent) had an abnormal postpartum Pap smear (95 percent confidence interval: 3.1-6.9 percent). Twenty-one (87.5 percent) of the abnormal smears showed squamous dysplasia; three (12.5 percent) showed squamous atypia. No specific risk factors were identified that predicted the occurrence of an abnormal postpartum Pap following a normal prenatal Pap except for age. Women more than 30 years of age were less likely to have an abnormal postpartum Pap smear (P = 0.008). The results of this study support the practice of performing Pap smears during prenatal care and again at postpartum examination, even when the prenatal Pap smear is normal.

Original languageEnglish (US)
Pages (from-to)4-9
Number of pages6
JournalThe Journal of the American Board of Family Practice / American Board of Family Practice
Issue number1
StatePublished - Jan 1989

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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