کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2630625 | 1136740 | 2009 | 10 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Caring for Women With Abnormal Papanicolaou Tests During Pregnancy
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کلمات کلیدی
Cervical intraepithelial neoplasia - neoplasia intraepithelial گردن رحمAdenocarcinoma - آدنوکارسینوماPregnancy - بارداریDysplasia - دیسپلازی Squamous cell cancer - سرطان سلول سنگفرشیCervical cancer screening - غربالگری سرطان گردن رحمAdolescent - نوجوانیColposcopy - کولپوسکوپیGuidelines - گایدلاین یا دستورالعمل
موضوعات مرتبط
علوم پزشکی و سلامت
پرستاری و مشاغل بهداشتی
مامایی
پیش نمایش صفحه اول مقاله
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چکیده انگلیسی
The Papanicolaou (Pap) test is one of the best screening tests available for cancer detection and has achieved widespread acceptance among women. Pregnancy provides a valuable opportunity to educate and screen women for cervical cancer when receiving prenatal care. However, evolving knowledge about the course of human papillomavirus infection (HPV) in women, new technologies, and the advent of vaccines are driving radical changes in practice and new ways to consider cervical cancer screening. Modifications in the 2006 Consensus Guidelines for the Management of Women with Abnormal Cervical Cancer Screening Tests are most evident among adolescents. Because of high rates of HPV regression, pregnant adolescents with minor Pap abnormalities may now be followed rather than referred for immediate colposcopy. Postponing colposcopy in pregnant, reproductive-age women with minor Pap changes until after delivery is now acceptable. Pregnant immunocompromised women with abnormal Pap tests are followed similarly to pregnant women in the general population. While a strong evidence base is gradually emerging to support guideline revisions, the highest quality evidence may not yet be available for all recommendations. Midwives can keep abreast of the science while using clinical judgment to provide safe and expert cancer screening care to women.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Midwifery & Women's Health - Volume 54, Issue 3, MayâJune 2009, Pages 201-210
Journal: Journal of Midwifery & Women's Health - Volume 54, Issue 3, MayâJune 2009, Pages 201-210
نویسندگان
Sharon CNM, MSN,