{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:28:36Z","timestamp":1787099316387,"version":"build-2736575974"},"reference-count":32,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000289","name":"Cancer Research UK","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014653","name":"Manchester Biomedical Research Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014653","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Feasibility of a paired\u2010sample study comparing cervical screening and urine self\u2010sampling at 6\u2010 and 12\u2010weeks postnatal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Paired\u2010sample feasibility study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Acute hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population or Sample<\/jats:title>\n                    <jats:p>Females within 6\u2009weeks of childbirth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Paired\u2010sample study comparing cervical screening and high\u2010risk human papillomavirus (HPV) testing from clinician\u2010taken samples and urine self\u2010samples at 6\u2010 and 12\u2013weeks postnatal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Uptake rates, patient\u2010reported outcomes, adverse events, HPV detection, relative HPV sensitivity and specificity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 245 potential participants, 115 (47%) consented, 102 (89%) and 96 (83%) attended their 6\u2010 and 12\u2010week screening visits, respectively. Median pain scores for cervical screening did not differ (6\u2010weeks\u2009=\u20091; 12\u2010weeks\u2009=\u20091;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.76). Most would be happy for future screening at 6\u2010weeks postnatal, 97\/102 (95%) and 85\/95 (89%) when asked at 6\u2010 and 12\u2010week study visits, respectively. Agreement rate of clinician\u2010taken HPV tests between 6\u2010 and 12\u2010weeks was 94.8% (91\/96, 95% confidence interval [CI], 88.4%\u201397.8%), with no inadequate combination HPV\/cytology tests (6 vs. 12\u2010week: sensitivity 80% [95% CI, 44.4\u201397.5]; specificity 96.5% [95% CI 90.1\u201399.3]). Relative to 12\u2010week clinician\u2010taken samples, urine self\u2010sampling may have lower sensitivity for HPV (e.g., 6\u2010week: sensitivity 60.0% [95% CI 26.2\u201387.8]; specificity 96.5% [95% CI 90.1\u201399.3]; NPV 95.4% [95% CI 88.6\u201398.7]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A paired\u2010sample study of cervical screening at 6\u2010 and 12\u2010weeks is feasible. Inadequacy rates of cervical screening were low, with high agreement. Urine self\u2010sampling may be less sensitive in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.70234","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T07:29:19Z","timestamp":1775028559000},"page":"1857-1865","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Cervical Screening at 6\u2010 and 12\u2010Weeks Postnatal: A Paired\u2010Sample Feasibility Study"],"prefix":"10.1111","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0966-0964","authenticated-orcid":false,"given":"Victoria A.","family":"Cullimore","sequence":"first","affiliation":[{"name":"Department of Gynaecological Oncology, GRACE Centre Musgrove Park Hospital, Somerset NHS Foundation Trust  Taunton Somerset UK"},{"name":"Faculty of Health and Life Sciences University of Exeter  Exeter Devon 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