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Midwifery assessment of the well woman. The Pap smear
1Morristown Memorial Hospital, New Jersey.
As more women have their well woman gynecologic needs met by CNMs, the impact of the midwife's role as a coordinator of women's health care becomes clearly evident. Midwives must become experts in screening women of all ages for a variety of health care concerns and they must be versed in many aspects of gynecologic care, beginning with the Pap smear. As the incidence of human papilloma virus has increased significantly in recent years, so has the incidence of cervical dysplasia. Understanding the epidemiologic factors for cervical dysplasia and the courses of therapy used are integral parts of comprehensive nurse-midwifery care.
As more women have their well woman gynecologic needs met by CNMs, the impact of the midwife's role as a coordinator of women's health care becomes clearly evident. Midwives must become experts in screening women of all ages for a variety of health care concerns and they must be versed in many aspects of gynecologic care, beginning with the Pap smear. As the incidence of human papilloma virus has increased significantly in recent years, so has the incidence of cervical dysplasia. Understanding the epidemiologic factors for cervical dysplasia and the courses of therapy used are integral parts of comprehensive nurse-midwifery care.