Cervical Screening Programme
Department of Health
The Government of the Hong Kong Special Administrative Region

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iv.

Right Environment & Correct Positioning

  • Male doctors are advised to be accompanied by female chaperone.
  • Ensure privacy: e.g. close bed screen, lock room door and lower window curtain.
  • Ask client to remove trousers and underpants.
  • Provide cover sheet to cover the abdomen may reduce embarrassment.
  • Ask the client to lie supine on the examination couch, with knees flexed, thighs spread, and feet rest on the pedals or bed end.
  • The left lateral position can be used if smears are difficult to obtain, such as in older women with lax anterior vaginal wall.
  • Ensure the client is comfortable.
  • Provide a running commentary of what you are doing during the examination may help alleviating anxiety of the client.
   
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