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Question re cervical assessment methodsFrom: anonymous@obgyn.netMon, 22 Mar 1999 18:18:42 -0600 (CST)
I have been reading about the new, cheaper alternative to the Pap smear (involving swabbing the cervix with vinegar and examining it with an AviScope -- especially useful in places where Paps are prohibitively expensive), and it reminded me of something that has puzzled me for ages. Why is it that cervical dilation before or during labor has to be measured by feel? Since we have fiber optic technology and all that, why can't somebody invent a teeny-tiny flexible, comfortable speculum that could just LOOK at the cervix? It seems as though this would be more comfortable, less invasive, and perhaps more accurate for some purposes. It seems like the sort of thing someone would have thought of earlier if it were possible, since speculums and colposcopes have been around for quite a while, but I'd like to see a good explanation of why it is or isn't possible. No doubt there is some anatomical thing I haven't thought of. But it's an entertaining idea to think of a bunch of med students watching an image of somebody's cervix projected on the wall (okay, I'm joking, but why couldn't one do this?).
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