PAP SMEAR by Shamini Nadaraja

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[Audio] What is Pap Smear? A test for cervical cancer screening : To ensure early detection of cervical cancer To determine the magnitude and extent of cervical cancer among the target group To plan activities for management and follow-up of women with abnormal Pap smears.

[Audio] Lets move on to Target Groups The cervical smear services are offered to all sexually active women between the ages of 30 and 65 years. However those who are sexually active but less than 30 years are encouraged to come for screening.

[Audio] This is Screening Interval. The initial screening interval is yearly for two years. If the results were normal then a 3-yearly Pap smear screening is indicated. If cytology and H-P-V testing were done together and both results were negative then the cervical screening interval is 5-yearly..

[Audio] Cytology Based Screening. Cytology Based Screening.

IMU CURRENT PRACTICE :LIQUID BASED. IMU- Kiddocare Caregiver Course.

[Audio] Taking a Pap Smear This is the advice for the woman Do not douche or insert any form of medication (suppositories) into the vagina 24 hours prior to the procedure. Avoid sexual intercourse within a period of 24 hours prior to the procedure. Avoid taking Pap smear during menstruation. -Pap smear can be done during pregnancy.

[Audio] Requirements for Taking Smears in Clinic Bivalve vaginal speculum (C-U-S-C-O) all sizes preferably disposable. Swabs Normal saline Hand gloves Sampling devicesor Request form PS1/98 (Pindaan 2019) Adequate light source Couch and screen.

[Audio] How to take pap smear By Getting a verbal consent The patient should be examined resting supine with the knees drawn up and separated or in stirrups in lithotomy position. Write the name of the patient date and hospital number on the cytological container and form.

[Audio] How to take Pap Smear 1.Wash your hands and wear gloves 2. Swab the introitus with normal saline. 3.Wet the bivalve speculum using sterile water or normal saline (Do not use lubricant). 4.. Introduce the speculum into the vagina 5. Expose the cervix clearly. If there is a discharge take a swab for microscopic examination and send for culture and sensitivity if indicated. Remove excess discharge before taking the cervical sample..

[Audio] 6. Liquid base Take sample from the cervix including transformation zone. Follow the instruction as in user manual example: Sure path:360 degrees rotation 5x in clockwise manner 7. Rinse the brush vigorously inside the preservative vial by swirling and pushing against the vial wall 10 times. Discard the brush.

[Audio] Reasons for unsatisfactory smear Insufficient sample Blood-stained smear Thick smear Usage of lubricant before taking smear.

Pap Smear. IMU- Kiddocare Caregiver Course. 13.