Cervical Cytologic Examination During Physical Checkup of Pregnant Women: Cervical Cancer Screening in Women Under the Age of Thirty

Abstract

Recently, the Ministry of Health, Labor and Welfare proposed that cervical cancer screening should be conducted for women aged 20 to 29 years old in Japan. However, there are insufficient data available in Japan concerning the screening conducted for women under the age of 30. Therefore, we made a survey of the results of cervical cytologic examination for pregnant women. 28 616 pregnant women were examined as subjects of a study group. A group of 108 289 women, subjected to group screening for cervical cancer in Miyagi Prefecture, were studied as a control group. The rate of subjects who required close examination in the pregnant women's group was significantly higher than that in the mass screening group (1.12% vs. 0.84%). The rate of close examination was significantly higher in the women 19 years old or younger compared to those in the age group of 25 to 39 years old. The rate was also significantly higher in women aged 20 to 24 years old than those who are 25 to 34 years old. Of the 321

Effectiveness of Cervical Cancer Screening Over Cervical Cancer Mortality Among Japanese Women

“…Fee exemption for the low income population can also contribute to increased participation rate (46). Another Japanese study recommended that every woman should be encouraged to undergo CC screening whenever they come to a clinic or hospital for a physical checkup or pregnancy test (47). Encouraging a greater number of women to attend the screening program by invitation (48), provision of effective nationwide outreach interventions (22), allocation of resources and widespread educational programs (8) especially for those who missed screening, may all improve the situation and reduce the death rate from SCC of the cervix.…”

Association of subjective health and abnormal cervical cytology in Japanese pregnant women: An adjunct study of the Japan Environment and Children's Study

“…There is a 1990’s report that the positive rate of cervical cytology in pregnant women in a Japanese teaching hospital was 1.5% ( Matsuura et al, 1993 ). On the other hand, the positive rate of abnormal cervical cytology among pregnant women was significantly higher at 1.12% compared to the positive rate of 0.84% for mass screening in the Miyagi Prefecture ( Abe et al, 2004 ). Compared to cervical cancer screening at the time of pregnancy, data collection based on population-based screening has a potential of lower uptake rate among young people, less information on the social background, and bias toward those with high health consciousness.…”

Clinical Screening Strategies for Cervical Cancer, Chlamydia trachomatis Infection, and Bacterial Vaginosis in Pregnant Women in Hokkaido between 2004 and 2012: a Retrospective Study

“…The results of the present study suggest that Japanese physicians followed the guideline of the JMHLW statement. Since there are more than one million maternities in Japan every year, the universal screening policy adopted in 98.6% of the facilities may have contributed to the reduction of mortality from UCC: the rate of class III or higher cytology in pregnant women was1.1% (321/28,616) in Japan (data from 1993 to 2002) [19].…”