Screening for Pregnancy Program Patients with Vaginal Swab and Pap Smear Examination

Ivanna Beru Brahmana(1*), Agus Widiyatmoko(2)
(1) Departemen Obstetrik dan Ginekologi, FKIK UMY
(2) Department of Internal Medicine, Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakarta
(*) Corresponding Author
DOI : 10.30604/jika.v7i2.952

Abstract

Background: Pregnancy programs not only require data on the size and shape of the uterus. The health of the vagina and cervix as sperm recipients should also be required, examined by vaginal swab and Pap smear. Objective: To describe the importance of vaginal swabs and Pap smears for the success of the pregnancy program. Methods: This research is a descriptive study. The data collected were secondary data from the medical records of pregnant patients during the first year of practice at the Reproductive/Obstetrics and Gynecology Polyclinic of AMC Muhammadiyah Hospital Yogyakarta from July 2019 to June 2020. The results of vaginal swab and Pap smear using descriptive analysis. Results and Discussion: 58 subjects enrolled in this research. The result of the vaginal swab and Pap smear examination showed normal and abnormal/pathogenic. Vaginal swab examination found more pathogenic microorganisms than nonpathogenic ones (58.6% vs 3.5%). The Pap smear examination found abnormal results (1.7%). These results show that vaginal swab and Pap smear are required for patients with pregnancy programs Conclusion: Vaginal swab and Pap smear examinations are necessary when infertile patients need pregnancy programs.

 

Abstrak: Latar belakang: Program kehamilan tidak hanya memerlukan data tentang ukuran dan bentuk rahim. Kesehatan vagina dan serviks sebagai penerima sperma semestinya juga diperlukan, dengan pemeriksaan swab vagina dan Pap smear. Tujuan: untuk mengetahui perlunya pemeriksaan swab vagina dan Pap smear dalam keberhasilan program kehamilan. Metode: Penelitian ini merupakan penelitian deskriptif. Data merupakan data sekunder dari rekam medis pasien program kehamilan saat praktek tahun pertama di Poliklinik Reproduksi/Kebidanan dan Kandungan RS AMC Muhammadiyah Yogyakarta sejak bulan Juli 2019–Juni 2020.  Hasil pemeriksaan swab vagina dan Pap smear dianalisis secara deskriptif. Hasil dan Pembahasan:Didapatkan 58 subyek penelitian yang mengikuti program kehamilan. Hasil pemeriksaan swab vagina menunjukkan 58,6% berupa mikroorganisma patogen dan 3,5% berupa mikroorganisme nonpatogen. Hasil pemeriksaan Pap smear abnormal sebesar 1,7%. Hasil ini menunjukkan bahwa swab vagina dan Pap smear perlu dilakukan pada pasien program kehamilan. Kesimpulan: Pemeriksaan swab vagina dan Pap smear perlu dilakukan pada pasien yang sedang program kehamilan.

Keywords


Pap smear; pregnancy program; vaginal swab

References


Abdelaziz, Z. A., Ibrahim, M. E., Bilal, N. E., & Hamid, M. E. (2014). Vaginal infections among pregnant women at Omdurman Maternity Hospital in Khartoum, Sudan. Journal of Infection in Developing Countries, 8(4), 490–497. https://doi.org/10.3855/jidc.3197

Aduloju, O. P., Akintayo, A. A., & Aduloju, T. (2019). Prevalence of bacterial vaginosis in pregnancy in a tertiary health institution, South Western Nigeria. Pan African Medical Journal, 33, 1–9. https://doi.org/10.11604/pamj.2019.33.9.17926

Ahuja, R., Sharma, P., & Chawla, R. (2020). Pap smear in antenatal women: a valuable opportunity for screening and awareness. International Journal of Research in Medical Sciences, 8(4), 1213. https://doi.org/10.18203/2320-6012.ijrms20201098

Bibbins-Domingo, K., Grossman, D. C., Curry, S. J., Barry, M. J., Davidson, K. W., Doubeni, C. A., Epling, J. J. W., García, F. A. R., Kemper, A. R., Krist, A. H., Kurth, A. E., Landefeld, C. S., Mangione, C. M., Phillips, W. R., Phipps, M. G., Silverstein, M., Simon, M., Siu, A. L., & Tseng, C. W. (2017). Screening for gynecologic conditions with pelvic examination US preventive services task force recommendation statement. JAMA - Journal of the American Medical Association, 317(9), 947–953. https://doi.org/10.1001/jama.2017.0807

Brahmana, I. B. (2020). Assisted Reproductive Technology as The Solution for Infertility Problem. In Supriyatiningsih (Ed.), Proceeding Book Seminar Sehari Menuju Pusat Keunggulan Muhammadiyah (pp. 1–12).

Di Paola, M., Seravalli, V., Paccosi, S., Linari, C., Parenti, A., De Filippo, C., Tanturli, M., Vitali, F., Torcia, M. G., & Di Tommaso, M. (2020). Identification of Vaginal Microbial Communities Associated with Extreme Cervical Shortening in Pregnant Women. Journal of Clinical Medicine, 9(11), 3621. https://doi.org/10.3390/jcm9113621

Ebu, N. I., Mupepi, S. C., Siakwa, M. P., & Sampselle, C. M. (2014). Knowledge, practice, and barriers toward cervical cancer screening in Elmina, Southern Ghana. International Journal of Womens Health, 7, 31–39. https://doi.org/10.2147/IJWH.S71797

Ekwedigwe, K. C., Ezeonu, P. O., Edegbe, F., Esike, C., Agbata, A. T., Ukaegbe, C. I., Anozie, O. B., Asiegbu, O. G., & Isikhuemen, M. (2018). Prevalence and Pattern of Abnormal Pap Smear among Pregnant Women Attending Antenatal Clinic in a Missionary Hospital in Abakaliki, Southeast Nigeria. Open Journal of Obstetrics and Gynecology, 08(08), 728–740. https://doi.org/10.4236/ojog.2018.88077

Fontham, E. T. H., Wolf, A. M. D., Church, T. R., Etzioni, R., Flowers, C. R., Herzig, A., Guerra, C. E., Oeffinger, K. C., Shih, Y. T., Walter, L. C., Kim, J. J., Andrews, K. S., DeSantis, C. E., Fedewa, S. A., Manassaram?Baptiste, D., Saslow, D., Wender, R. C., & Smith, R. A. (2020). Cervical cancer screening for individuals at average risk: 2020 guideline update from the American Cancer Society. CA: A Cancer Journal for Clinicians, 70(5), 321–346. https://doi.org/10.3322/caac.21628

Gill, P., Gaurav, A., Khoiwal, K., Kumari, O., Bahadur, A., Agarwal, A., Chowdhuri, S., & Chaturvedi, J. (2020). Cervical Cancer Screening in Pregnancy and Postpartum: A North Indian Hospital Based Prospective Observational Study. Asian Pacific Journal of Cancer Biology, 5(3), 99–106. https://doi.org/10.31557/apjcb.2020.5.3.99-106

Gopal, D. A. . (2017). A Study on the Relationship between High Vaginal Swab Culture and Neonatal Sepsis in Prelabour Rupture of Membranes at Term. Journal of Medical Science And Clinical Research, 05(02), 18041–18048. https://doi.org/10.18535/jmscr/v5i2.130

Joyisa, N., Moodley, D., Nkosi, T., Talakgale, R., Sebitloane, M., Naidoo, M., & Karim, Q. A. (2019). Asymptomatic bacterial vaginosis in pregnancy and missed opportunities for treatment: A cross-sectional observational study. Infectious Diseases in Obstetrics and Gynecology, 2019. https://doi.org/10.1155/2019/7808179

Ngonzi, J., Bebell, L. M., Bazira, J., Fajardo, Y., Nyehangane, D., Boum, Y., Nanjebe, D., Boatin, A., Kabakyenga, J., Jacquemyn, Y., Van Geertruyden, J. P., & Riley, L. E. (2018). Risk factors for vaginal colonization and relationship between bacterial vaginal colonization and in-hospital outcomes in women with obstructed labor in a ugandan regional referral hospital. International Journal of Microbiology, 2018, 0–7. https://doi.org/10.1155/2018/6579139

Nkwabong, E., Laure Bessi Badjan, I., & Sando, Z. (2019). Pap smear accuracy for the diagnosis of cervical precancerous lesions. Tropical Doctor, 49(1), 34–39. https://doi.org/10.1177/0049475518798532

Pandey, D., Solleti, V., Jain, G., Das, A., Shama Prasada, K., Acharya, S., & Satyamoorthy, K. (2019). Human Papillomavirus (HPV) infection in early pregnancy: Prevalence and implications. Infectious Diseases in Obstetrics and Gynecology, 2019. https://doi.org/10.1155/2019/4376902

Rerucha, C. M., Caro, R. J., & Wheeler, V. L. (2018). Cervical Cancer Screening. American Family Physician, 97(7), 441–448. https://doi.org/10.6004/jnccn.2010.0103

Sachan, P., Singh, M., Patel, M., & Sachan, R. (2018). A Study on Cervical Cancer Screening Using Pap Smear Test and Clinical Correlation. Asia-Pacific Journal of Oncology Nursing, 5(3), 337–341. https://doi.org/10.4103/apjon.apjon_15_18

Singh, S., Swain, S., Das, L., Das, P., & Sahoo, S. (2016). Isolation and characterization of organisms in high vaginal swab culture in preterm pregnancy (28-37 week). International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 5(11), 3853–3858. https://doi.org/10.18203/2320-1770.ijrcog20163853

Son, K. A., Kim, M., Kim, Y. M., Kim, S. H., Choi, S. J., Oh, S. Y., Roh, C. R., & Kim, J. H. (2018). Prevalence of vaginal microorganisms among pregnant women according to trimester and association with preterm birth. Obstetrics and Gynecology Science, 61(1), 38–47. https://doi.org/10.5468/ogs.2018.61.1.38

Tellapragada, C., Eshwara, V. K., Bhat, P., Kamath, A., Aletty, S., & Mukhopadhyay, C. (2017). Screening of vulvovaginal infections during pregnancy in resource constrained settings: Implications on preterm delivery. Journal of Infection and Public Health, 10(4), 431–437. https://doi.org/10.1016/j.jiph.2016.06.003

Terlan, R. J., & Cesar, J. A. (2018). Non-performance of pap smears among pregnant women in the extreme south of Brazil: Prevalence and associated factors. Ciencia e Saude Coletiva, 23(11), 3557–3566. https://doi.org/10.1590/1413-812320182311.35162016


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