Operational Obstetrics & Gynecology

Obtaining a Pap Smear

This video demonstrates how obtain a Pap smear for cytologic examination. Pap smears are helpful in detecting cervical cancer and pre-cancerous changes. They are somewhat useful in detecting uterine cancer and of limited use in detecting ovarian cancer.

The free, short version was produced by the US Navy as training for medical personnel in isolated settings. It was included on the Operational Obstetrics & Gynecology CD. It may be freely downloaded.
Video Runtime 1:16
14 MB mpg
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Obtaining a Pap Smear

"Position the patient at the edge of the exam table."

"Inspect the vulva."

"Separate the labia and gently insert the vaginal speculum."

"Lock the speculum in the open position."

"Use a spatula to obtain a 360 degree sample from the cervix."

"Then use a brush to sample the endocervical canal."

"Remove the speculum, inspecting the vaginal walls."

"Try to keep the speculum blades from coming together too quickly, pinching the skin."

"Spread the specimen on a glass slide, making as thin a preparation as you can."

"Spray the slides immediately with fixative to avoid drying artifact."


Home    Introduction    Medical Support of Women in Field Environments    The Prisoner of War Experience    Routine Care    Pap Smears    Human Papilloma Virus    Contraception    Birth Control Pills    Vulvar Disease    Vaginal Discharge    Abnormal Bleeding    Menstrual Problems    Abdominal Pain    Urination Problems    Menopause    Breast Problems    Sexual Assault    Normal Pregnancy    Abnormal Pregnancy    Normal Labor and Delivery    Problems During Labor and Delivery    Care of the Newborn

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C

Operational Obstetrics & Gynecology - 2nd Edition
The Health Care of Women in Military Settings
CAPT Michael John Hughey, MC, USNR
January 1, 2000

This web version of Operational Obstetrics & Gynecology is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy NAVMEDPUB 6300-2C, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense. All material in this version is unclassified.

This formatting 2006 Medical Education Division, Brookside Associates, Ltd.
All rights reserved

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