guest editorial : cancer screening:

GUEST EDITORIAL Cancer Screening: One Aspect of the Midwi$e’s Respon- sibiliw to Women’s Health For years health professionals have been encouraging women to seek an annual physical examination with specific emphasis on cancer screening. Regret- fully, the public’s motivation toward re- questing the annual physical screening examination has been generally poor, or at best sporadic. However, it was the news of the First Lady’s sudden surgery for breast cancer that brought the reali- ties of the threat of cancer clearly to the public. This triggered an upsurge of ap- pointments for cancer screening physical examinations. Suddenly all cancer screening services at the Medical Centers were booked for six months ahead and private doctors’ offices were overworked. In many cities and communities the health authorities have come to the realization that when the public does respond with positive motivation toward preventive health screening services, the traditional facili- ties cannot accommodate these increased numbers of individuals seeking services. Among the questions now being asked is “Can the Midwife help in providing the screening needs of women?” Breast cancer is the leading cause of cancer death in women today! The American Cancer Society states that in the United States tbere are 84 million women at risk (age 14 and over) and it is anticipated that over 90,OOO new cases of breast cancer will be detected annually and similarly 46,000 new cases of uterine cancer will be diagnosed. The Obstetric-Gynecologic Health Team provides much of the primary health care for women. The midwives as part of this team also participate in some of the health screening of women who require obstetric and contraceptive services. A logical progression of this health screening role would be the application of the Certified Nurse-Midwife’s know- ledge and skills to provide screening for women in the reproductive age category who require neither obstetric nor contraceptive services. Therefore, in those communities where screening services must be increased, the Certified Nurse-Mid- wife should become more actively in- volved. The women would not only benefit from the midwife’s screening examinations but would benefit from the coun- seling she in her unique position is able to provide. Dorothea M. Lang, C.N.M.. M.P.H. Director, Nurse-Midwifery Services MIC/FP Projects Department of Health City of New York Journal of Nurse-Midwifery / 3

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GUEST EDITORIAL

Cancer Screening: One Aspect of the Midwi$e’s Respon- sibiliw to Women’s Health

For years health professionals have been encouraging women to seek an annual physical examination with specific emphasis on cancer screening. Regret- fully, the public’s motivation toward re- questing the annual physical screening examination has been generally poor, or at best sporadic. However, it was the news of the First Lady’s sudden surgery for breast cancer that brought the reali- ties of the threat of cancer clearly to the public. This triggered an upsurge of ap- pointments for cancer screening physical examinations.

Suddenly all cancer screening services at the Medical Centers were booked for six months ahead and private doctors’ offices were overworked. In many cities and communities the health authorities have come to the realization that when the public does respond with positive motivation toward preventive health screening services, the traditional facili- ties cannot accommodate these increased numbers of individuals seeking services.

Among the questions now being asked is “Can the Midwife help in providing the screening needs of women?”

Breast cancer is the leading cause of cancer death in women today! The

American Cancer Society states that in the United States tbere are 84 million women at risk (age 14 and over) and it is anticipated that over 90,OOO new cases of breast cancer will be detected annually and similarly 46,000 new cases of uterine cancer will be diagnosed.

The Obstetric-Gynecologic Health Team provides much of the primary health care for women. The midwives as part of this team also participate in some of the health screening of women who require obstetric and contraceptive services. A logical progression of this health screening role would be the application of the Certified Nurse-Midwife’s know- ledge and skills to provide screening for women in the reproductive age category who require neither obstetric nor contraceptive services. Therefore, in those communities where screening services must be increased, the Certified Nurse-Mid- wife should become more actively in- volved. The women would not only benefit from the midwife’s screening examinations but would benefit from the coun- seling she in her unique position is able to provide.

Dorothea M. Lang, C.N.M.. M.P.H. Director, Nurse-Midwifery Services

MIC/FP Projects Department of Health

City of New York

Journal of Nurse-Midwifery / 3

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