Uyanwah P O
Acta Cytol. 1985 Sep-Oct;29(5):800-4.
The maternal factors affecting the cytohormonal smear patterns of 200 puerperally fully lactating Nigerian women were studied. Lateral vaginal wall cytosmears obtained from these women during the sixth postnatal week showed a wide range of cytohormonal patterns, depicting varying degrees of epithelial regeneration. Maternal age, parity per se and the mode of delivery were found to be of no statistical significance in the determination of the cytohormonal patterns (0.1 greater than P greater than 0.05). However, the parity of the vaginally delivered patients was a highly statistically significant determinant (P less than 0.001), indicating a cumulative effect of trauma on the regenerative capability of the vaginal epithelium. Furthermore, a highly significant number (P less than 0.001) of these puerperally fully lactating women exhibited a midzone to cyclic cytohormonal smear pattern, with a maturation value greater than 50, thereby reflecting a near-maximal estrogenic activity and a resultant almost fully regenerated, mature vaginal epithelium in these women in the sixth postnatal week. The classical postnatal smear was found in only 36% of these women during the sixth postpartum week as opposed to the 28% previously documented for the first postnatal week.
对200名产后完全泌乳的尼日利亚妇女影响细胞激素涂片模式的母体因素进行了研究。在产后第六周从这些妇女获取的阴道侧壁细胞涂片显示出广泛的细胞激素模式，描绘了不同程度的上皮再生。发现产妇年龄、产次本身和分娩方式在确定细胞激素模式方面无统计学意义（0.1＞P＞0.05）。然而，经阴道分娩患者的产次是一个具有高度统计学意义的决定因素（P＜0.001），表明创伤对阴道上皮再生能力有累积影响。此外，这些产后完全泌乳的妇女中有相当数量（P＜0.001）表现出中区至周期性细胞激素涂片模式，成熟值大于50，从而反映出这些妇女在产后第六周具有近乎最大的雌激素活性以及由此产生的几乎完全再生、成熟的阴道上皮。在产后第六周，仅36%的这些妇女出现典型的产后涂片，而第一周产后的记录为28%。
