Category:Women's Health

Overview

Each clinic does Women’s Health Care as able, including PAP smears, breast exams, IUD Implanon placements/removal, and endometrial biopsies. There are several case managers who help with women’s health (see attached list). YKHC has a CDC Breast and Cervical Health Grant that helps YK bring in patients for PAP smears, annual exams and cancer diagnosis of breast or cervical or uterine cancer. The grant will pay for travel, meals and lodging if necessary for any women between the ages of 21-64.

See the current Cervical Cancer Screening with hrHPV guideline. If abnormal PAPs, they are followed on a database by the CDC Breast and Cervical Care Manager. We follow the ASCCP guidelines for dealing with abnormal PAPs. There is a great app for it on your smart phone.

Any abnormal looking cervixes, endometrial biopsies and skin lesion removals in the perineum that you feel need further work up can be referred to Women’s Health in Bethel. Feel free to contact the Gynecology Case Manager. See the current Breast Cancer Screening guideline for recommendations on mammograms.

For annual exams, you can use Well Woman’s encounter pathway note. Please make sure to document Family History, Procedure History and counsel on birth control options.

If you have a patient with an abnormal breast exam, she will need a mammogram and a breast ultrasound, both must be done prior to the surgeon seeing them. You need to clearly document where the mass is. If she is under 40, they will only do a sono. If she is over 40, they will do both a sono/mammo. (Breast Cancer Screening YKHC Clinical Guideline). The WH Grant Case Manager (543-6296) will make sure that copies of the mammogram and sono go to ANMC for review prior to the patient’s visit.

CDC Breast and Cervical Health Grant

This grant helps YK bring in patients for Pap smears, annual exams, and cancer diagnosis of breast or cervical or uterine cancer. The grant will pay for travel, meals and lodging if necessary for any women between the ages of 21-64.

Women’s Health (WH) Grant Info for PAPs & Mammograms

The CDC funded Women's Health Grant is for Paps and mammograms and is not associated with YKHC. They fund for annual Paps, mammograms based on age as below, and any abnormal Pap or mammogram follow-ups.

The WH Grant will fund trips to Anchorage for breast biopsy or LEEP procedure, but not for other OB/GYN related issues or surgeries.

• Obstetrics YKHC Clinical Guidelines
• YKHC Common/Unique Medical Diagnoses
• OB/GYN Referrals
• Prenatal Information
• OB Common Procedures
• Sexually Transmitted Infections
• HROB Stickers--Problems/Plans
• Pregnancy Termination
• Women’s Health Grant Information

Midwifery In Rural Alaska: A 1994 article by former YKHC midwife Joan Koval.