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Updated: Jul 14, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

The cervical cancer screening program from a midwife's perspective.

Monica Ideström¹, Ian Milsom, Agneta Andersson-Ellström

¹Department of Obstetrics and Gynaecology, Central Hospital, Karlstad, Sweden. monica.idestrom@liv.se

Acta Obstetricia Et Gynecologica Scandinavica

|May 24, 2007

Summary

Swedish midwives need better education and structure for cervical cancer screening. Many feel unprepared to discuss cellular atypia, impacting patient understanding and the screening program

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Last Updated: Jul 14, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Area of Science:

Gynecologic Oncology
Public Health
Nursing Education

Background:

Midwives in Sweden manage Papanicolaou (Pap) smears for cervical cancer screening.
This study examines midwives' knowledge, experience, and management of the screening program.
It also assesses their perceptions of women's understanding of Pap-smear screening.

Purpose of the Study:

To investigate midwives' knowledge and experience with the cervical cancer screening program.
To understand midwives' management practices and their views on women's knowledge of Pap smears.
To identify areas for improvement in the screening process and midwife education.

Main Methods:

A postal questionnaire was distributed to midwives in primary healthcare across three Swedish regions.
156 out of 201 midwives (77% response rate) completed the questionnaire.

Main Results:

Most midwives felt adequately educated, yet lacked structured information delivery.
A significant number struggled to define 'cellular atypia' or provided irrelevant answers.
Midwives perceived women misunderstood cellular atypia, equating it with cancer.
38% desired an end to the current screening system's 'assembly line' nature.

Conclusions:

Midwives often lack time and structured guidance for discussing screening and cervical atypia.
Enhanced organization and certified Pap-smear screening education are crucial.
Access to current research can empower midwives and improve patient communication in cervical screening.