{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:35:02Z","timestamp":1777664102238,"version":"3.51.4"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2010,12,24]],"date-time":"2010-12-24T00:00:00Z","timestamp":1293148800000},"content-version":"vor","delay-in-days":1087,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2008,1,2]]},"abstract":"<jats:p>The purpose of this study was to determine how closely certified nurse\u2010midwives in the United States follow contemporary cervical cancer screening guidelines. A survey was sent to 264 randomly selected certified nurse\u2010midwives. Survey questions included demographics and clinical scenarios addressing initiation, frequency, and cessation of screening. Responses were received from 60% of the sampled certified nurse\u2010midwives who had valid mailing addresses; 127 were eligible for the analytic sample. Many nurse\u2010midwives initiate cervical cancer screening earlier than guidelines recommend; 72% would initiate screening in an 18\u2010year\u2010old within 1 month of coitarche, while 36% would begin screening virginal girls at age 18, and many continue cervical cancer screening after guidelines recommend cessation. More than 60% of the respondents would continue screening a woman who had undergone total hysterectomy for symptomatic fibroids who had no history of dysplasia, and half would continue to screen a 70\u2010year\u2010old woman with a 30\u2010year history of previous normal Pap tests. In addition, despite guidelines which recommend less frequent screening, more than one\u2010quarter (28%) would continue annual screening in a 35\u2010year\u2010old woman with three or more normal tests. Certified nurse\u2010midwives are performing cervical cancer screening more frequently than current guidelines recommend. Comparisons to the practice of other providers are offered. Education to limit unnecessary testing is needed.<\/jats:p>","DOI":"10.1016\/j.jmwh.2007.06.014","type":"journal-article","created":{"date-parts":[[2008,1,25]],"date-time":"2008-01-25T08:46:52Z","timestamp":1201250812000},"page":"11-18","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Cervical Cancer Screening Practices of Certified Nurse\u2010Midwives in the United States"],"prefix":"10.1111","volume":"53","author":[{"given":"Patricia Aikins","family":"Murphy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleanor Bimla","family":"Schwarz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane M.","family":"Dyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,12,24]]},"reference":[{"key":"e_1_2_5_2_2","unstructured":"US Cancer Statistics Working Group.United States cancer statistics: 1999\u20132002 incidence and mortality web\u2010based report version. 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