AI Article Synopsis
- The study aimed to explore how midwives in France practice cervical cancer screening and determine women's eligibility for screening during pregnancy.
- Conducted between February and May 2018, the research gathered responses from 273 midwives through an internet-based survey, which included a clinical case vignette.
- Results revealed that 15% of midwives never screen during pregnancy, while 63.7% screen women aged 25 and older; however, adherence to complete screening protocols varied significantly based on gestational age, with only 29% willing to perform a Pap test at 25 weeks.
Article Abstract
Objective: To describe midwives' practices related to cervical cancer screening and women's eligibility for screening during pregnancy.
Study Design: Cross-sectional vignette-based study of French midwives during February-May 2018.
Main Outcome Measures: Participants were asked to complete an internet-based questionnaire: a clinical case-vignette about a woman eligible for cervical cancer screening during pregnancy and a short self-administered questionnaire.
Results: We obtained 273 complete questionnaires from eligible midwives. Of those responding, 15% reported that they never screened for cervical cancer during pregnancy, 63.7% did so for women 25 years or older, and 51% adhered to the recommended intervals between tests. Overall, 110 (40%) midwives adhered to the complete screening protocol (age at initiation and interval). In this clinical case vignette of a woman meeting the criteria for screening, only 29% of midwives reported they would perform a Pap test at 25 weeks of gestation, while 91% would at 10 weeks.
Conclusion: Midwives' practices of cervical cancer screening and their determination of women's eligibility during pregnancy vary, especially according to gestational age; Nevertheless, pregnancy is an appropriate time to screen women who meet the criteria for cervical cancer screening, especially if they are not receiving regular gynaecological care.
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| http://dx.doi.org/10.1016/j.srhc.2020.100539 | DOI Listing |
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