Gynecological Exams

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  1. Pamela N Red profile image86
    Pamela N Redposted 7 years ago

    It would be nice if when people ask a question you could answer it more than once. My reason is that sometimes a person gives a bad answer and someone needs to let the OP and anyone else who might be reading know that the advice is not good to follow.

    Recently someone asked a question about pap smears and if a person feels violated when they get them. One woman mentioned that she goes to a midwife so she doesn't have that issue.

    Here is the link:

    http://hubpages.com/question/122322/do- … swer291072

    A midwife is not a physician. They can deliver babies but have no authority or education in checking for cancer cells, STD's, cysts, tumors or any other number of conditions a woman may have.

    It worries me that this young woman feels comfortable seeing a midwife for her healthcare needs.

    1. profile image0
      Deborah Sextonposted 7 years agoin reply to this

      ___________________
      Sorry but you are wrong. Doctors don't diagnose disease either.

      No matter who does the pap smear, it is sent to the lab.

      Regardless how it looks , no diagnosis is made until samples are tested. A lot (almost all) Midwives do pap smears.

      1. Pamela N Red profile image86
        Pamela N Redposted 7 years agoin reply to this

        Yes, doctors do diagnose disease, everyday.

        What education does a midwife have? Where I live they are simply women who deliver babies, some have a nursing degree but from what I have heard they don't even have to have that.

        I've never heard of midwives doing pap smears.

        1. profile image0
          Deborah Sextonposted 7 years agoin reply to this

          ____________
          I am a nurse and doctors do not diagnose. The lab does,

          Doctors diagnose the flu, Multiple Sclerosis,etc but when it comes to tumors or cells
          Dr's may say it looks like this but they will also tell you they have to wait till they get the lab report back after the cells have been studied by the Pathologist..
          Midwives just have to know how to do the pap smear. The lab will diagnose.

          Just because you haven't heard does not make it not so. Obviously you have never heard of the lab either.


          No need to reply because I'm done

          1. Pamela N Red profile image86
            Pamela N Redposted 7 years agoin reply to this

            The people at the laboratory are doctors.

          2. psycheskinner profile image82
            psycheskinnerposted 7 years agoin reply to this

            The examination is not just for the smear (also for masses, infections etc), and the doctor interprets the test results.  Unless the midwife is also an MD or nurse practitioner they should not be doing this.

            1. profile image0
              Deborah Sextonposted 7 years agoin reply to this

              ______________

              I'm a nurse myself..a Perioperative nurse, so I know who can do what.

              What I meant was the Midwife only does the pap smear and the Pathologist diagnoses.

              I was not saying that's all Midwifes do.

              A midwife is allowed to do a pap smear. Are you in the medical field?

              The Pathologist diagnoses and the doctor reads the report.

  2. profile image0
    Deborah Sextonposted 7 years ago
  3. profile image0
    Deborah Sextonposted 7 years ago

    What a Midwife does. Go here and scroll past the Google ads.

    http://stason.org/TULARC/child-parent/m … es-Do.html

    Here is another link
    http://ezinearticles.com/?Nurse-Midwife … id=6217039

    Giving medical advice is against the law.

    (saying don't go to a midwife for a pap smear, is medical advice)

    1. Pamela N Red profile image86
      Pamela N Redposted 7 years agoin reply to this

      I would much rather have a person who has gone to medical school take care of my health than a midwife. If you feel comfortable putting your health in the hands of someone less qualified you certainly have that right.

    2. Pamela N Red profile image86
      Pamela N Redposted 7 years agoin reply to this

      A midwife is just a nurse, not a doctor.

      http://www.allnursingschools.com/nursin … se-midwife

      1. profile image0
        Deborah Sextonposted 7 years agoin reply to this

        ____________
        Just a nurse?
        I got my MSN and I had to know as much as a doctor. It took me 6 years to get my degree.

        A pap smear is so easy a ten year old could do it.

        You've just got to be right huh?

  4. psycheskinner profile image82
    psycheskinnerposted 7 years ago

    I am in a related field and know that not all midwives are nurses.  As I said, a midwife that is also a doctor or nurse (aka nurse-midwife) can do this.  A midwife that is not also a doctor or nurse cannot. And yes, in many countries including the US you can be a professional midwife without being a doctor or nurse (aka a lay midwife).

    1. Pamela N Red profile image86
      Pamela N Redposted 7 years agoin reply to this

      That's what I've read too. If a woman is confident she won't have any complications, I think it would be fine to let a midwife deliver her baby but I certainly wouldn't take medical advice from one.

  5. profile image0
    Deborah Sextonposted 7 years ago

    ____________________
    In the US you have to take a national examination and get certification to become a CPM

    1. psycheskinner profile image82
      psycheskinnerposted 7 years agoin reply to this

      But you don't have to have a CPM to go into business as a midwife--it is not a limited title like doctor or nurse are.

  6. akanga1 profile image86
    akanga1posted 7 years ago

    I may be able to help in this debate seeing as I'm in this field. Practises vary by country. Here in the UK, smears are taken mainly by nurses but those who do are specially trained and certified in the specific skill. Most nurses cannot take smears because they do not have the training.  Midwives NEVER do smears. It is simply not their field. Pap (cervical) smear are a 'screening' test and therefore, strictly speaking, should not be looked at as a diagnostic test. If a woman has any symptoms she is concerned about, she will of course not see a nurse, not even one with pap-smear taking training. She will see a doctor as there is then a need for a diagnosis. That's outside a nurse's remit. I hope that helps but I am aware practises may be different in other parts of the world.

  7. Diane Inside profile image77
    Diane Insideposted 7 years ago

    where I live there are midwives at the hospital who work under a doctor, if they have problems or issues with patients the doctor is notified but the midwif is capable of doing pap smears as well as the doctor.

    In many cases I've seen the midwife do a better job at seeing the issues such as disease as the doctors, she then notifies the doctor of her suspisions who then comes in as needed for further testing and diagnoses.

    To me midwives do more than just deliver babies, they have a much more holistic approach to the patient.

    1. Diane Inside profile image77
      Diane Insideposted 7 years agoin reply to this

      oh as for the issue of feeling violated or uncomfortable, I chose a female OB/GYN she does a great job at making me feel at ease.

 
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