Introduction Cervical cancer screening identifies pre-invasive lesions that may lead to cervical cancer. Those who obtain screening are less likely to be diagnosed with cervical cancer. While certain barriers have been identified in general populations, there is limited qualitative research on barriers to cervical cancer screening in an obstetrical population. As pregnant individuals may experience different barriers, it is important to determine barriers most prevalent in this population such that targeted interventions can be implemented.

Methods Patients were recruited from a hospital-based clinic in Hamilton, Ontario, Canada. Participants completed a survey revealing demographics, knowledge of screening, and barriers to screening that they have faced. The date of the participant’s last cancer screening was recorded. Interested participants then engaged in a semi-structured interview. Conventional content analysis was used to code and categorize the data.

Results 66% of participants had received their last screening within the recommended interval. 26% correctly identified the year of their last screening. Healthcare system factors such as preference for a female provider, long waitlists or lack of a provider, lack of communication between providers, and rushed appointments are the most prevalent barriers in the obstetrical population. Knowledge barriers, psychological and personal health factors, and financial factors were also reported.

Conclusion/Implications The results of this study confirm that there are significant knowledge gaps and healthcare system barriers to cervical cancer screening in an obstetrical population. The results will inform obstetrical healthcare providers about the barriers their patients face in obtaining cervical cancer screening and inform tailored interventions.