From 1948 to 1967, 113 patients with carcinoma of the cervix associated with pregnancy were seen and treated. Vaginal bleeding was the most common symptom. Thirty percent of the patients had no symptoms. In these patients the prenatal examination and cytologic smear were most helpful. Punch biopsy is an accurate diagnostic tool in both prenatal and postpartum patients, even for Stage I lesions. Gravidas have earlier lesions than their non-pregnant counterparts. During pregnancy, as time from conception increases there is a greater possibility that more advanced lesions will be observed. Age, parity and the trimester in which diagnosis is made have no effect on survival within a given stage. Likewise, the mode of delivery has no effect on maternal or fetal survival. The survival rate is not appreciably different between pregnant and non-pregnant patients within a given stage.
© 1970 The American College of Obstetricians and Gynecologists