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Re: Paps in pregnancyFrom: dahmd@gate.netWed Oct 16 21:59:35 1996
>On Wed, 16 Oct 1996, Lilyan Kay wrote: >> So does this mean that it's a myth that one musn't use the brush on >> pregnant women? And Robert J Woolley responded:
>"Preliminary findings suggest that the brush can be used during I dug through the journal pile and found the reference I was after: Evaluation of the Endocervical Cytobrush and Cervex-Brush in Pregant Women. Fidela et al, Obstet Gynecol 1004;84:539-543. They concluded that there was an increased detection of endocervical cells in pregnant patients when using the cytobrush (91%) vs the cotton swab (71%). However, there was no significant difference between the cytobrush (91%) and cervex-brush (83%). The cytobrush smears had more bloody pap smears, but this was not clinically nor statistically significant different, nor were there any poor outcomes from any method. This is the paper I send to the nurses in the clinics who continue to give the residents and staff a hard time about using the brush. I still can't figure out where the brush got such a bad rap from. Using the brush does not seem any more likely to rupture the water bag than the swab, and despite some occasional spotting, the payoff is a more efficient collection method. Thanks, Ashley Hill D. Ashley Hill, M.D. dahmd@gate.net Orlando,FL
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