Women’s beliefs about the purpose and value of routine pelvic examinations

Norrell, Laura; Kuppermann, Miriam; Moghadassi, Michelle; Sawaya, George F.

doi:10.1016/j.ajog.2016.12.031

Cited by 19 publications

(15 citation statements)

References 13 publications

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“…The present study result had revealed that majority among present studied sample had incorrect knowledge concerning (definition, importance, complication & preparation). This is in agreement with Norrell et al, [22] who found that approximately one-half of the participants stated that they knew the examination's purpose. Similarly Freyens et al, [23].…”

Section: Discussionsupporting

confidence: 82%

“…Moreover the only kindness is permitted in emergency situations, where life is in imminent danger. Consequently, large numbers of women avoid seeking medical attention for gynecologic conditions for fear of being examined by male physicians this inconsistent with Hilden et al, and Amir et al, [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27]. This was reflected upon their disagreed attitude.…”

Section: Discussionmentioning

confidence: 92%

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Investigate Young Female Reaction Concerning Their Gynecological Examination

Hassan¹,

Aboud²,

Elkayal³

2018

AJNR

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The aim of this study was to investigate young female reaction concerning their gynecological examination. Design: descriptive study. Setting: This study was conducted at obstetrics and gynecology outpatient clinic at Mansoura university hospital, Egypt. Subjects: two hundred and three young female. Sample type: purposive sample. Tools: An interviewing questionnaire schedule, emotional stress reaction questionnaire, visual analogue scale and immediately post gynecological examination assessment. Results: The present study results had revealed that, majority among young female had incorrect knowledge. Also, 90.1% of young female complain from pain during bimanual examination &insertion of instrument, It was observed that majority among young female had totally correspond negative nonverbal reaction during (Gyne Ex) were feeling of embarrassment (92.1%), while (84.2%) closed& tight her thighs during (Gyne Ex). In addition negative verbal emotional stressful reaction during (Gyne Ex) was no clinic discharge information from health team (88.7%). Moreover most of young female were disagreed about technique, pre-preparation (Gyne Ex). Furthermore 71.4% refused to repeated future (Gyne Ex). Additionally the main barriers by self reported by young female were stressful event (88.2%), lack of communication with health team (85.2%) & taking long time for waiting (79.3%). Conclusion: the present study concluded that the majority of the young female had incorrect knowledge. Also, most of them corresponding with negatively verbal and nonverbal emotional reaction as well as the majority were embarrassment and (Gyne Ex) hurted the dignity, Recommendation: design purshor, guideline and poster concerning the importance & technique of female gynecological examination to enhance young female emotional verbal and non verbal reaction towards their regular Gyne Ex).

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 92%

Investigate Young Female Reaction Concerning Their Gynecological Examination

Hassan¹,

Aboud²,

Elkayal³

2018

AJNR

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“…In the first phase (September 2014 through October 2015), we sought to describe women’s understanding of the examination’s purpose and its perceived value within a sample of participants who were not exposed to summary statements describing professional societies’ recommendations regarding the examination; these results were recently reported. 11 We focused the second phase on evaluating the effect of professional societies’ statements on participants’ desire to undergo the examination. The randomized second phase of the study took place from October 2015 through June 2016.…”

Section: Methodsmentioning

confidence: 99%

“…We recently reported the first phase of this study in which we interviewed 262 women about their perceptions of the examination; about half of women did not know the examination’s purpose, although many believed it to be of value, especially in reassuring them of their health. 11 Here, we report the second phase of the interview study focused on understanding whether professional societies’ conflicting statements (recommendation and rationale) would influence women’s desires to have the examination. To address this question, we randomly assigned women to review summaries of either the ACP or the ACOG statements followed by a series of attitudinal questions.…”

Section: Introductionmentioning

confidence: 99%

Effect of professional society recommendations on women’s desire for a routine pelvic examination

Sawaya

Smith‐McCune

Gregorich

et al. 2017

American Journal of Obstetrics and Gynecology

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“…In a recent study of women recruited from women's clinics, about half did not know the examination's purpose. 10 Those who claimed to know believed it to be useful mainly in reassurance of normalcy. But is this need for reassurance simply a consequence of decades-long public health messaging about the need for an annual examination?…”

mentioning

confidence: 99%

Screening Pelvic Examinations

Sawaya

2017

JAMA Intern Med

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The US Preventive Services Task Force (USPSTF) has finalized its recommendation statement 1 regarding periodic screening with the pelvic examination, and it is both unusual and remarkable. It is unusual because the USPSTF typically does not make recommendations about a test separate from a specific health condition. It is remarkable in that it finds the evidence insufficient to assess the balance of benefits and harms of performing screening pelvic examinations in asymptomatic women-a conclusion in direct contrast to that of 2 other high-profile professional societies: the American College of Physicians (ACP) and the American Congress of Obstetricians and Gynecologists (ACOG). Evidently, both the ACP and the ACOG believe the evidence to be sufficient to make a recommendation, but in different directions. The ACP strongly recommends against performing the examination in asymptomatic, nonpregnant adult women. 2 This conclusion was based on a systematic review that found no evidence in support of the examination but found evidence of harms ranging from psychological distress to unnecessary surgery. 3 The ACOG, on the other hand, acknowledges the lack of evidence but recommends annual examinations in women 21 years or older "based on expert opinion." 4(p422) The ACOG's Well Woman Task Force reinforces the recommendation and the belief that the decision to perform the examination be a shared one between a woman and her clinician. 5 In effect, we now have 3 influential groups making 3 different recommendations. It is important to note that the USPSTF recommendation statement 1 does not apply to health conditions for which the USPSTF already recommends screening, such as cervical cancer, gonorrhea, or chlamydia in some women. Specifically, the USPSTF addresses the stand-alone value of the routine pelvic examination (which may include any of the following components, alone or in combination: assessment of the external genitalia, internal speculum examination, bimanual palpation, and recto-vaginal examination) outside of any other indications. All 3 groups agree on 1 fact: there is a substantial lack of evidence of benefit of the examination in this context, including its value in screening for ovarian cancer. How can it be that such a long-standing practice has escaped the usual high standards of evidence required of preventive interventions? Has the emperor been traipsing around unclothed for as long as anyone can remember? Perhaps it is the attention to harms that have caused a closer look. The new USPSTF statement 1 puts these harms in

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Women’s beliefs about the purpose and value of routine pelvic examinations

Cited by 19 publications

References 13 publications

Investigate Young Female Reaction Concerning Their Gynecological Examination

Investigate Young Female Reaction Concerning Their Gynecological Examination

Effect of professional society recommendations on women’s desire for a routine pelvic examination

Screening Pelvic Examinations

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