Investigating the acceptability and accuracy of cervical screening and self-sampling in women at 6-weeks postnatal - PINCS
Cervical screening
To understand reasons for non-participation and establish an uptake rate, a sub-study cohort of 100 potential participants will all be approached and the acceptance rate recorded. The reason given by those who choose to not participate will be recorded anonymously for those willing to disclose reasons. At appointment 1, potential participants will discuss the study with a member of the research team, and if willing to take part, consent will be obtained and they will complete a 1-page questionnaire. After delivery, a member of the study team will contact the participant to confirm ongoing willingness to participate and arrange a 6-week screening appointment. A reminder notification will be conveyed in advance of the appointment. At appointment 2, 6 weeks after delivery, consent will be confirmed and the participant will perform self-testing with Coli-pee sampler. A speculum examination will then be performed and a cervical sample taken using a cervical brush. Samples will be collected in accordance with the NHS CSP guidance by members of the study team who are registered on the Cervical Sample Takers Database. The appointment plan for 12-week screening will be confirmed, and a further appointment made. Following the appointment, the participant will complete a web-based questionnaire. A reminder notification will be conveyed in advance of the next appointment. Participants will be made aware that the results of the cervical screening test will not be available until after their 12-week test is performed. At appointment 3 at 12 weeks postnatal a Colli-pee urine sample and cervical sample will be taken with a cervical brush. The participant will be informed of the management process in the case of an abnormal smear result. Following the appointment, the participant will complete a web-based questionnaire. Participants will receive a letter containing their cervical screening results and information on continuation of care under the NHS CSP, copies of which will b
1. 24.5 to 64 years 2. Has a uterine cervix and eligible for cervical screening 3. Currently pregnant or recently delivered 4. <6 weeks postpartum 5. Valid informed consent to cervical screening at 6 and 12 weeks postnatal
1. <24.5 years old 2. Absence of uterine cervix or ineligible for cervical screening 3. Lack of valid informed consent to screening at 6 weeks postnatal