Risk of Human Papillomavirus (HPV) Infection and Cervical Neoplasia after Pregnancy
Parity is well established as a risk factor for cervical cancer. It is not clear, however, how pregnancy influences the natural history of HPV infection and cervical neoplasia. Our objective was to study the risk of HPV infection and cervical squamous intraepithelial lesions (SIL) after pregnancy. W...
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| Veröffentlicht in: | BMC Pregnancy and Childbirth 2015-10, Vol.15 (1), p.244-244, Article 244 |
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| creator | Trottier, Helen Mayrand, Marie-Hélène Baggio, Maria Luiza Galan, Lenice Ferenczy, Alex Villa, Luisa L Franco, Eduardo L |
| description | Parity is well established as a risk factor for cervical cancer. It is not clear, however, how pregnancy influences the natural history of HPV infection and cervical neoplasia. Our objective was to study the risk of HPV infection and cervical squamous intraepithelial lesions (SIL) after pregnancy.
We used the Ludwig-McGill cohort study which includes 2462 women recruited in Sao Paulo, Brazil in 1993-97 and followed for up to 10 years. Cellular specimens were collected every 4-6 months for Pap cytology and HPV detection and genotyping by a polymerase chain reaction protocol. Study nurses recorded pregnancy occurrence during follow-up. HPV and Pap results from pregnant women were available before and after, but not during pregnancy. The associations between pregnancy and post-partum HPV infection/SIL were studied using generalized estimating equation models with logistic link. Adjusted odds ratios (OR) were estimated with empirical adjustment for confounding.
We recorded 122 women with a history of pregnancy during follow-up. Of these, 29 reintegrated the cohort study after delivery. No association between HPV and pregnancy was found. A single SIL case (high grade SIL) occurred post-partum. Likewise, there was no association between pregnancy and risk of low grade SIL or any-grade SIL at the next visit (adjusted OR = 0.84, 95 % CI: 0.46-15.33) after controlling for confounders.
No associations were found between pregnancy and HPV or LSIL. The single observed case of HSIL post-partum was more than would be expected based on the rate of these abnormalities among non-pregnant women. As this association was found with only one case, caution is required in the interpretation of these results. |
| doi_str_mv | 10.1186/s12884-015-0675-0 |
| format | Article |
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We used the Ludwig-McGill cohort study which includes 2462 women recruited in Sao Paulo, Brazil in 1993-97 and followed for up to 10 years. Cellular specimens were collected every 4-6 months for Pap cytology and HPV detection and genotyping by a polymerase chain reaction protocol. Study nurses recorded pregnancy occurrence during follow-up. HPV and Pap results from pregnant women were available before and after, but not during pregnancy. The associations between pregnancy and post-partum HPV infection/SIL were studied using generalized estimating equation models with logistic link. Adjusted odds ratios (OR) were estimated with empirical adjustment for confounding.
We recorded 122 women with a history of pregnancy during follow-up. Of these, 29 reintegrated the cohort study after delivery. No association between HPV and pregnancy was found. A single SIL case (high grade SIL) occurred post-partum. Likewise, there was no association between pregnancy and risk of low grade SIL or any-grade SIL at the next visit (adjusted OR = 0.84, 95 % CI: 0.46-15.33) after controlling for confounders.
No associations were found between pregnancy and HPV or LSIL. The single observed case of HSIL post-partum was more than would be expected based on the rate of these abnormalities among non-pregnant women. As this association was found with only one case, caution is required in the interpretation of these results.</description><identifier>ISSN: 1471-2393</identifier><identifier>EISSN: 1471-2393</identifier><identifier>DOI: 10.1186/s12884-015-0675-0</identifier><identifier>PMID: 26446835</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Brazil - epidemiology ; Care and treatment ; Cellular biology ; Cervical cancer ; Deoxyribonucleic acid ; DNA ; Female ; Follow-Up Studies ; Genotype ; Health aspects ; Human papillomavirus ; Humans ; Infections ; Maternal & child health ; Medical research ; Medicine, Experimental ; Natural history ; Papanicolaou Test ; Papillomaviridae - genetics ; Papillomaviridae - isolation & purification ; Papillomavirus Infections - epidemiology ; Pharmaceutical industry ; Postpartum Period ; Pregnancy ; Pregnancy Complications, Infectious - epidemiology ; Risk factors ; Squamous Intraepithelial Lesions of the Cervix - epidemiology ; Squamous Intraepithelial Lesions of the Cervix - pathology ; Vaginal Smears ; Womens health ; Young Adult</subject><ispartof>BMC Pregnancy and Childbirth, 2015-10, Vol.15 (1), p.244-244, Article 244</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>2015. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Trottier et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c564t-4f20c265f39d64be534992de6e362d2c43747d68cab8d12800d0385855abe7873</citedby><cites>FETCH-LOGICAL-c564t-4f20c265f39d64be534992de6e362d2c43747d68cab8d12800d0385855abe7873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4597450/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4597450/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26446835$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trottier, Helen</creatorcontrib><creatorcontrib>Mayrand, Marie-Hélène</creatorcontrib><creatorcontrib>Baggio, Maria Luiza</creatorcontrib><creatorcontrib>Galan, Lenice</creatorcontrib><creatorcontrib>Ferenczy, Alex</creatorcontrib><creatorcontrib>Villa, Luisa L</creatorcontrib><creatorcontrib>Franco, Eduardo L</creatorcontrib><creatorcontrib>Ludwig-McGill Cohort Study Group</creatorcontrib><creatorcontrib>for the Ludwig-McGill Cohort Study Group</creatorcontrib><title>Risk of Human Papillomavirus (HPV) Infection and Cervical Neoplasia after Pregnancy</title><title>BMC Pregnancy and Childbirth</title><addtitle>BMC Pregnancy Childbirth</addtitle><description>Parity is well established as a risk factor for cervical cancer. It is not clear, however, how pregnancy influences the natural history of HPV infection and cervical neoplasia. Our objective was to study the risk of HPV infection and cervical squamous intraepithelial lesions (SIL) after pregnancy.
We used the Ludwig-McGill cohort study which includes 2462 women recruited in Sao Paulo, Brazil in 1993-97 and followed for up to 10 years. Cellular specimens were collected every 4-6 months for Pap cytology and HPV detection and genotyping by a polymerase chain reaction protocol. Study nurses recorded pregnancy occurrence during follow-up. HPV and Pap results from pregnant women were available before and after, but not during pregnancy. The associations between pregnancy and post-partum HPV infection/SIL were studied using generalized estimating equation models with logistic link. Adjusted odds ratios (OR) were estimated with empirical adjustment for confounding.
We recorded 122 women with a history of pregnancy during follow-up. Of these, 29 reintegrated the cohort study after delivery. No association between HPV and pregnancy was found. A single SIL case (high grade SIL) occurred post-partum. Likewise, there was no association between pregnancy and risk of low grade SIL or any-grade SIL at the next visit (adjusted OR = 0.84, 95 % CI: 0.46-15.33) after controlling for confounders.
No associations were found between pregnancy and HPV or LSIL. The single observed case of HSIL post-partum was more than would be expected based on the rate of these abnormalities among non-pregnant women. As this association was found with only one case, caution is required in the interpretation of these results.</description><subject>Adult</subject><subject>Brazil - epidemiology</subject><subject>Care and treatment</subject><subject>Cellular biology</subject><subject>Cervical cancer</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Genotype</subject><subject>Health aspects</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Infections</subject><subject>Maternal & child health</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Natural history</subject><subject>Papanicolaou Test</subject><subject>Papillomaviridae - genetics</subject><subject>Papillomaviridae - isolation & purification</subject><subject>Papillomavirus Infections - epidemiology</subject><subject>Pharmaceutical industry</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - epidemiology</subject><subject>Risk factors</subject><subject>Squamous Intraepithelial Lesions of the Cervix - epidemiology</subject><subject>Squamous Intraepithelial Lesions of the Cervix - pathology</subject><subject>Vaginal Smears</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1471-2393</issn><issn>1471-2393</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdUV1rFDEUHcRia_UH-CIBX-rD1HxP5kUoi7qFUhdbfQ3Z5M6amknWZGah_94sW0uVQHK5OefcezhN84bgc0KU_FAIVYq3mIgWy65ez5oTwjvSUtaz50_q4-ZlKXcYk04J_KI5ppJzqZg4aW6--fILpQEt59FEtDJbH0Iazc7nuaCz5erHe3QZB7CTTxGZ6NAC8s5bE9A1pG0wxRtkhgkyWmXYRBPt_avmaDChwOuH97T5_vnT7WLZXn39crm4uGqtkHxq-UCxpVIMrHeSr0Ew3vfUgQQmqaOWs453Tipr1spVpxg7zJRQQpg1dKpjp83Hg-52Xo_gLMQpm6C32Y8m3-tkvP73J_qfepN2mou-4wJXgbMHgZx-z1AmPfpiIQQTIc1Fk44SxhVTskLf_Qe9S3OO1Z6mFPdScCX3gucH1MYE0D4Oqc619TgYvU0RBl_7F4ITjillrBLIgWBzKiXD8Lg9wXqfsT5krGvGep-x3g95-9T2I-NvqOwPYk6ggg</recordid><startdate>20151007</startdate><enddate>20151007</enddate><creator>Trottier, Helen</creator><creator>Mayrand, Marie-Hélène</creator><creator>Baggio, Maria Luiza</creator><creator>Galan, Lenice</creator><creator>Ferenczy, Alex</creator><creator>Villa, Luisa L</creator><creator>Franco, Eduardo L</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20151007</creationdate><title>Risk of Human Papillomavirus (HPV) Infection and Cervical Neoplasia after Pregnancy</title><author>Trottier, Helen ; Mayrand, Marie-Hélène ; Baggio, Maria Luiza ; Galan, Lenice ; Ferenczy, Alex ; Villa, Luisa L ; Franco, Eduardo L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c564t-4f20c265f39d64be534992de6e362d2c43747d68cab8d12800d0385855abe7873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Brazil - epidemiology</topic><topic>Care and treatment</topic><topic>Cellular biology</topic><topic>Cervical cancer</topic><topic>Deoxyribonucleic acid</topic><topic>DNA</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Genotype</topic><topic>Health aspects</topic><topic>Human papillomavirus</topic><topic>Humans</topic><topic>Infections</topic><topic>Maternal & child health</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Natural history</topic><topic>Papanicolaou Test</topic><topic>Papillomaviridae - genetics</topic><topic>Papillomaviridae - isolation & purification</topic><topic>Papillomavirus Infections - epidemiology</topic><topic>Pharmaceutical industry</topic><topic>Postpartum Period</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Infectious - epidemiology</topic><topic>Risk factors</topic><topic>Squamous Intraepithelial Lesions of the Cervix - epidemiology</topic><topic>Squamous Intraepithelial Lesions of the Cervix - pathology</topic><topic>Vaginal Smears</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Trottier, Helen</creatorcontrib><creatorcontrib>Mayrand, Marie-Hélène</creatorcontrib><creatorcontrib>Baggio, Maria Luiza</creatorcontrib><creatorcontrib>Galan, Lenice</creatorcontrib><creatorcontrib>Ferenczy, Alex</creatorcontrib><creatorcontrib>Villa, Luisa L</creatorcontrib><creatorcontrib>Franco, Eduardo L</creatorcontrib><creatorcontrib>Ludwig-McGill Cohort Study Group</creatorcontrib><creatorcontrib>for the Ludwig-McGill Cohort Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC Pregnancy and Childbirth</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Trottier, Helen</au><au>Mayrand, Marie-Hélène</au><au>Baggio, Maria Luiza</au><au>Galan, Lenice</au><au>Ferenczy, Alex</au><au>Villa, Luisa L</au><au>Franco, Eduardo L</au><aucorp>Ludwig-McGill Cohort Study Group</aucorp><aucorp>for the Ludwig-McGill Cohort Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk of Human Papillomavirus (HPV) Infection and Cervical Neoplasia after Pregnancy</atitle><jtitle>BMC Pregnancy and Childbirth</jtitle><addtitle>BMC Pregnancy Childbirth</addtitle><date>2015-10-07</date><risdate>2015</risdate><volume>15</volume><issue>1</issue><spage>244</spage><epage>244</epage><pages>244-244</pages><artnum>244</artnum><issn>1471-2393</issn><eissn>1471-2393</eissn><abstract>Parity is well established as a risk factor for cervical cancer. It is not clear, however, how pregnancy influences the natural history of HPV infection and cervical neoplasia. Our objective was to study the risk of HPV infection and cervical squamous intraepithelial lesions (SIL) after pregnancy.
We used the Ludwig-McGill cohort study which includes 2462 women recruited in Sao Paulo, Brazil in 1993-97 and followed for up to 10 years. Cellular specimens were collected every 4-6 months for Pap cytology and HPV detection and genotyping by a polymerase chain reaction protocol. Study nurses recorded pregnancy occurrence during follow-up. HPV and Pap results from pregnant women were available before and after, but not during pregnancy. The associations between pregnancy and post-partum HPV infection/SIL were studied using generalized estimating equation models with logistic link. Adjusted odds ratios (OR) were estimated with empirical adjustment for confounding.
We recorded 122 women with a history of pregnancy during follow-up. Of these, 29 reintegrated the cohort study after delivery. No association between HPV and pregnancy was found. A single SIL case (high grade SIL) occurred post-partum. Likewise, there was no association between pregnancy and risk of low grade SIL or any-grade SIL at the next visit (adjusted OR = 0.84, 95 % CI: 0.46-15.33) after controlling for confounders.
No associations were found between pregnancy and HPV or LSIL. The single observed case of HSIL post-partum was more than would be expected based on the rate of these abnormalities among non-pregnant women. As this association was found with only one case, caution is required in the interpretation of these results.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26446835</pmid><doi>10.1186/s12884-015-0675-0</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; SpringerNature Journals; PubMed Central Open Access; Springer Nature OA Free Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Adult Brazil - epidemiology Care and treatment Cellular biology Cervical cancer Deoxyribonucleic acid DNA Female Follow-Up Studies Genotype Health aspects Human papillomavirus Humans Infections Maternal & child health Medical research Medicine, Experimental Natural history Papanicolaou Test Papillomaviridae - genetics Papillomaviridae - isolation & purification Papillomavirus Infections - epidemiology Pharmaceutical industry Postpartum Period Pregnancy Pregnancy Complications, Infectious - epidemiology Risk factors Squamous Intraepithelial Lesions of the Cervix - epidemiology Squamous Intraepithelial Lesions of the Cervix - pathology Vaginal Smears Womens health Young Adult |
| title | Risk of Human Papillomavirus (HPV) Infection and Cervical Neoplasia after Pregnancy |
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