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Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Apron used by midwife Mary Howlett, c. 1866 - 1920
Apron belonged to and was used by midwife Mary Howlett. Mary Howlett (1840-1922) began practising as a country midwife in 1866 in the western district of Victoria. She qualified as a 'ladies monthly nurse' in 1887 and continued to practise as a nurse and midwife until 1920.She began her six months training at the Melbourne Lying-In Hospital. She was known by many as 'Auntie', and her career spanned more than 50 years. Mrs Howlett's midwifery box and contents were given to Dr Frank Forster, and he donated them to the museum collection in 1993.Hand made white linen apron. Consists of a small bib at front, with two long shoulder straps attached to a long gored skirt. Shoulder straps have three mother of pearl buttons, and there are four buttonholes at the back of the waistband of the skirt. The skirt is divided into three gores and has a darted waist. On the right side of the skirt there is a large patch pocket. The skirt is finished with a false hem.midwifery -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Tool - Simpson's perforator used by Box Hill Hospital labour ward
This is a destructive instrument. Perforators were used to pierce and empty the skull in a craniotomy (which is a form of embryotomy). A craniotomy is a procedure whereby "a perforation is made in the foetal skull to reduce the volume of the foetal head which prevents delivery." (Source: Medecins Sans Frontieres, 'MSF medical guidelines - Essential obstetric and newborn care - 9.7 Embryotomy'') This instrument was included with other obstetric instruments, mostly destructive instruments, given to RANZCOG from Box Hill Hospital labour ward in February- March 1998. The maternity service at Box Hill Hospital combined with St George's Hospital in Kew to be known as Birralee Maternity Service. These instruments were collected by Julie Collette, Unit Manager, St George's Kew and given to RANZCOG Museum Curator, Susan Barnett.Simpson's perforator. Stainless steel perforator with fluted handles. Various inscriptions: "ALLEN & HANBURYS LTD/ENGLAND S.S.ut" on shaft, "12" on inner surface of hinged brace, "B.H.H.L. Ward" on inner shaft of blade."B.H.H.L. Ward"destructive instruments -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Infant feeding bottle, Mellin's, Mellin's Food, c. 1900 to 1940
Feeding bottles of this shape were on sale from 1900 for about 40 years. The Allenbury feeder devised by Allen & Hanburys, U.K. was the first of this type. They were easier to clean and the mild flow was easier to regulate. Source: Kevill-Davies, Sally. "Yesterday's Children: The Antiques and History of Childcare" Mellin's Food was a company which produced patent milk solids and cereal preparations from c1860s. English food chemist Gustav Mellin developed an infant food formula in the late 1860s, dubbed Mellin's Food, which became the most widely used mass produced food at this time. Source: Andrew Smith (2013). "Baby Food". The Oxford Encyclopedia of Food and Drink in America. ISBN 9780199734962. Glass feeding bottle. Bottle is loosely boat shaped with flat base, and neck and openings at either end. There is a small flattened area on the base to allow the bottle to balance. Writing embossed into bottle reads 'MELLIN'S FOOD' and 'TABLE SPOONS'. Graduated markings for months of age and tablespoons. Visible join seams on bottle.infant feeding, infant care -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Thomas retroflexion pessaries associated with Dr Frank Forster
Thomas’ Retroflexion Pessary is narrower in proportion to its length, while the greater bow is enlarged to a bulb-like form. It enjoyed great popularity and as such was manufactured in a great variety of sizes. Comprised of hard rubber because of its lightness and the high polish that may be given it. The shape can be adjusted by covering the device in petrolatum and heating it with a spirit lamp or immersing it in boiling water. Manufactured in three sizes, and could be combined with a cup and stem external support. See Allen & Hanburys Gynaecological instruments catalogue, page 707.Two moulded black pessaries, Thomas retroflexion type. Made of black vulcanite. Narrower at one end.pessary, intrauterine device -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Doctor's theatre gown worn by Dr Mitchell Henry O'Sullivan, c. 1930s
The wearing of gown became mandatory in all operating theatres from the 1900s and in 1914-1918 during the Spanish flu epidemic. During the 1930s gowns were worn when attending polio patients. From 1945 onwards, midwifery hospitals required all staff working in labour wards, premature nurseries, and special care (observation nurseries) to wear gowns when in contact with mothers or babies. During the 1950s the gown regime helped to combat the spread of golden stph in midwifery hospitals. Dr Mitchell Henry O'Sullivan worked in the Victorian country town of Casterton as a general practitioner from 1919 until his death in 1977. He also practiced obstetrics. His son, Dr David More O'Sullivan donated his obstetric bag and its contents to the College in 1999. The bag and contents are a unique time capsule of the type of instruments and pharmaceuticals used in the inter-war period.Cotton gown with high round collar and long sleeves. Gown is made in two sections with a centre doubled seam. The collar is made to button at the neck, but the button on this gown is missing. Wrists of gown are fastened with flat mother of pearl buttons. Open at back with six ties. Laundry tag taped to right side of gown.surgery -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Wooden RACOG crest, c. 1954
Presented to the Australian Regional Council of the RCOG in 1954 by Professor G I Strachan. It was originally displayed at 8 LaTrobe Street Melbourne premises until the College re-located to 254-260 Albert Street. Carved wooden RACOG crest. The crest features the figures of a woman and a man standing either side of a shield. The crest is painted in various colours with the text "SUPER ARDUA" inscribed on a scroll beneath. college memorabillia -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Hodges-style pessary associated with Dr Frank Forster
Uterine and anal pessaries were in use from the early 1900s onwards. The size and shape of the pessary varied greatly, and the variation of the original Hodges pessary is evident in many catalogues over a period of sixty years. Celluloid appliances were made in many different colours (ie. blue, pink, white, yellow). The use of celluloid gradually decreased during the late 1960s.Hodges -style intrauterine pessary, made of black vulcanite.intrauterine device -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Hodges-style pessary with cross bars, associated with Dr Frank Forster
Both uterine and anal pessaries were in use from the early part of the 1900s. This particular type of pessary was in general use from the 1960s to the mid 1970s.Hodges-style intrauterine pessary with three cross bars.intrauterine device -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Glass nipple shield associated with midwife Mary Howlett, c. 1866 - 1920
A rubber teat would be attached to the top of this nipple shield for breast feeding. From 1801 onwards, nipple shields were available in a variety of materials, such as pewter, horn, bone, ivory, wood, glass and silver. They varied in shape from a bell to a flatter, cap shaped appliance. With the application of the nipple shield, the baby was able to take milk from the breast without giving added trauma to the nipples. In the ante partum period the nipple shield could be worn to assist in drawing out flat nipples; or, as it was known during this period, in the formation of "new nipples". (Fildes, Valerie. 'Breasts, Bottles & Babies - A History of Infant Feeding', 1986) Mary Howlett (1840-1922) began practising as a country midwife in 1866 in the western district of Victoria. She qualified as a 'ladies monthly nurse' in 1887 and continued to practise as a nurse and midwife until 1920. She began her six months training at the Melbourne Lying-In Hospital. She was known by many as 'Auntie', and her career spanned more than 50 years. Mrs Howlett's midwifery box and contents were given to Dr Frank Forster, and he donated them to the museum collection in 1993.Glass nipple shield. Shape resembles that of a bell.midwifery, infant feeding -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Glass connection associated with midwife Mary Howlett, c. 1866 - 1920
This type of connection could be attached to a hypodermic syringe for blood or fluid collection. This connection could also be used as an attachment to 'cupping' instruments to induce artificial hyperaemia to assist in the draining of abcesses and carbuncles.Mary Howlett (1840-1922) began practising as a country midwife in 1866 in the western district of Victoria. She qualified as a 'ladies monthly nurse' in 1887 and continued to practise as a nurse and midwife until 1920.She began her six months training at the Melbourne Lying-In Hospital. She was known by many as 'Auntie', and her career spanned more than 50 years. Mrs Howlett's midwifery box and contents were given to Dr Frank Forster, and he donated them to the museum collection in 1993.Glass connection, 2cm in length, with central flange. Proximal (near) end has a rounded ridge for attaching to a syringe. Distal (far) end in plain, for attaching to rubber tubing.midwifery -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Breast pump associated with midwife Mary Howlett, c. 1866 - 1920
These breast pumps were also known as breast relievers or breast exhausters. They were a refinement of the much earlier 'sucking glass'. The breast pump was refined during the Victorian age. Glass breast pumps were used to manually express milk for the infant. These pumps were in use from the early 1920s to the late 1960s. They can also be used to stimulate lactation. These pumps were widely used in the 1950s by mothers of premature babies. The milk was expressed by hand in the home, then transported to the hospital to feed the premature infant. Mary Howlett (1840-1922) began practising as a country midwife in 1866 in the western district of Victoria. She qualified as a 'ladies monthly nurse' in 1887 and continued to practise as a nurse and midwife until 1920.She began her six months training at the Melbourne Lying-In Hospital. She was known by many as 'Auntie', and her career spanned more than 50 years. Mrs Howlett's midwifery box and contents were given to Dr Frank Forster, and he donated them to the museum collection in 1993.Glass breast pump. Pump is loosely bell shaped with a glass bowl attached to the side of the bell.infant feeding, midwifery -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Book, Estienne, Charles, 1504-1564, La dissection des parties du corps humain diuisee en trois liures, 1546
[8] l., 405 p., with woodcuts and illustrations. Vellum covering.non-fictionhuman dissection, early works to 1800 -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Book, Raynalde, Thomas et al, The byrth of mankynde otherwyse named the womans booke, 1560
[26] p., cxxxi leaves, [2] l. of plates : ill ; 20 cm.non-fictionobstetrics, early works to 1800 -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Book, De conceptu et generatione hominis : de matrice et eius partibus, nec non de conditione in-fantis in utero, et gravidarum cura et officio...libri sex ... Nunc denuo recogniti & in plerisque locis castigati, 1580
[4], 100, [1] l ; ill ; 20 cm. (4to). In Latin.non-fictionobstetrics, early works to 1800, midwifery -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Metal spray producer associated with midwife Mary Howlett, c. 1866 - 1920
Mary Howlett (1840-1922) began practising as a country midwife in 1866 in the western district of Victoria. She qualified as a 'ladies monthly nurse' in 1887 and continued to practise as a nurse and midwife until 1920.She began her six months training at the Melbourne Lying-In Hospital. She was known by many as 'Auntie', and her career spanned more than 50 years. Mrs Howlett's midwifery box and contents were given to Dr Frank Forster, and he donated them to the museum collection in 1993.Made of a heavy white metal. Metal cap covers the actual spray applicator. There are two curved metal tubes leading to the outlet spray. In addition to the metal object there is a small metal connection with a small metal insertion. The metal connection is attached to a piece of old red rubber tubing.midwifery -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Wishbone pessary associated with Dr Frank Forster
This pessary was often used for a condition called retroflexion of the uterus. Similar in style to Chamber's stem pessary.Wishbone style pessary, consisting of two white metal arms attached to a ring. The arms are slightly curved, like tweezers, and end in small, spoon-like prongs. intrauterine device, pessary -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Thomas retroflexion pessary associated with Dr Frank Forster, c. 1901 to 1930
This type of pessary was used in the treatment of retroflexion of the uterus. Thomas’ Retroflexion Pessary is narrower in proportion to its length, while the greater bow is enlarged to a bulb-like form. It enjoyed great popularity and as such was manufactured in a great variety of sizes. Comprised of hard rubber because of its lightness and the high polish that may be given it. The shape can be adjusted by covering the device in petrolatum and heating it with a spirit lamp or immersing it in boiling water. Manufactured in three sizes, and could be combined with a cup and stem external support. See Allen & Hanburys Gynaecological instruments catalogue, page 707.Vulcanite pessary. Pessary is loosely horseshoe shaped, tapering to a point at the proximal end. The curve of the pessary at the distal end thickens and is rounded. Majority of the pessary is concave.intrauterine device, pessary -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Thomas pessary associated with Dr Frank Forster
This pessary was manufactured by Allen and Hanburys in three sizes - large, medium, and small. The pessary was originally regarded as an instrument and made from cork, ivory, hard rubber or gum-elastic. In later times, they were made from black vulcanite, flexible tin, soft copper wire covered with Indian rubber, and celluloid. The form of the pessary was and still is variable -either round, oval, or moulded in some cases combining three or four curves depending on the size of the pessary. In ancient times, medicated pessaries were made from emollient. astringent and aperient. Several of these are still used, but in more modem times are called vaginal suppositories. Anal suppositories are still used to suppress the pain of haemorrhoids.Thomas style supportive antiflexion pessary. Pessary is made of black vulcanite and is inscribed with number "65". Pessary is thickened at distal end and tapered at proximal end.intrauterine device, pessary -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Tool - Collection of suture needles used by Dr Mitchell Henry O'Sullivan
Needles in this collection include: -2 x abdominal triangular cutting edge suture needles, used for skin suture. Size 2/0 -Morrison's half circle round bodied suture needle, size 3 and size 2 -Bonney's regular curved cutting edge suture needle, size 7 or 8 -Regular curved triangular pointed suture needle, size 2 and size 6 -Ferguson's round point half circle suture needle, size 15 -Hagerdorn's reversed 1/20 suture needle, size 7 -Bonney's curved suture needle, size 7 and size 9 -Regular curved triangular cutting point suture needle, size 15 -Boston/intestinal fine round bodied half circle suture needle Dr Mitchell Henry O'Sullivan worked in the Victorian country town of Casterton as a general practitioner from 1919 until his death in 1977. He also practiced obstetrics. His son, Dr David More O'Sullivan donated his obstetric bag and its contents to the College in 1999. The bag and contents are a unique time capsule of the type of instruments and pharmaceuticals used in the inter-war period.Collection of suture needles in wooden case. Consists of four, loose, crescent shaped needles, and an additional nine needles stuck into a piece of cork. Case is cylindrical, has a lid and is possibly made from pine wood.surgery -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Equipment - Hypodermic syringe and needles used by Dr Mitchell Henry O'Sullivan
Dr Mitchell Henry O'Sullivan worked in the Victorian country town of Casterton as a general practitioner from 1919 until his death in 1977. He also practiced obstetrics. His son, Dr David More O'Sullivan donated his obstetric bag and its contents to the College in 1999. The bag and contents are a unique time capsule of the type of instruments and pharmaceuticals used in the inter-war period.Hypodermic glass syringe (.1) with three hypodermic needles (.2 - .4) and metal storage case (.5 - .6). Barrel of syringe is marked from with measurements from 0-20. .2 is a needle head with a rounded flange tapering towards the needle shaft. .3 and .4 are needle heads with flattened oval bulbs, attached to a round bead which holds the needle shaft. The case is oval in shape with the word 'Crystal' engraved diagonally into the top of the lid. There are two fixings attached inside the bottom of the case which form a cradle for the storage of the syringe.'Crystal' -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Tool - Minimus II sphygmomanometer used by Dr Lorna Lloyd-Green, Riester
Portable blood pressure machine with case. Device consists of an arm cuff with a tube, rubber pressure bulb and gauge. The arm cuff is made of a khaki green material, with attached velcro and an attached label that reads 'KATCH/KUFF'. Tubing and pressure bulb are made of green rubber. The pressure gauge indicates that this device is made in Germany. Case is made of black leather and the inside of thh case is reinforced with cream plastic. -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Instrument - Vulval douche associated with Dr Frank Forster
Bakelite douche, consisting of three sections and two caps. Can be disassembled for cleaning. -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Mayo-Rochester needle holder used by Dr Lorna Lloyd-Green
Straight needle holder with a 'spring socket' attached to each side of the arms with a small screw. A piece of metal with three serrations is attached to the inner side of the left handle. The right handle has a similar tube of metal attached when the handles are squeezed together. The two pieces of metal lock and bring the point of the needle holder together. The handles are released by a nail-like screw on the outside of the right handle. surgery -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Ephemera - Commemorative stamps issued in the United Kingdom for the centenary of antiseptic surgery, 1961
The Royal Australian College of Surgeons (RACS) holds one of Lister's carbolic sprays in its collection.Joseph Lister, 1st Baron Lister, Bt., OM, FRS, PC (5 April 1827 – 10 February 1912), known as Sir Joseph Lister, Bt., between 1883 and 1897, was a British surgeon and a pioneer of antiseptic surgery. By applying Louis Pasteur's advances in microbiology, he promoted the idea of sterile surgery while working at the Glasgow Royal Infirmary. Lister successfully introduced carbolic acid (now known as phenol) to sterilise surgical instruments and to clean wounds, which led to a reduction in post-operative infections and made surgery safer for patients.Two postage stamps issued in the United Kingdom, 1961. The first stamp is a one shilling stamp, depicting an upper body portrait of Joseph Lister against a blue background on the left, with a profile image of Queen Elizabeth II on the right. Text printed on the stamp reads 'Antiseptic/Surgery/Lister/Centenary'. The second stamp is a four pence stamp, depicting Lister's carbolic spray against a grey background on the left, with a profile image of Queen Elizabeth II on the right. Text printed on stamp reads 'Lister Centenary/Antiseptic Surgery'.surgery -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Sculpture - Beaver sculpture by Dr Ruth Walker, c.1980
Dr Ruth Walker was a member of the AMA Arts Group, which was founded in 1959. She contributed a number of pieces of sculpture to exhibitions during the 1980s. Copies of AMA exhibition catalogues are held by La Trobe University Library. Exhibitions were usually help in September-October at the Victorian Artists' Society in Albert Street, East Melbourne. This piece was gifted to Dr Bob Bennett, and donated to the College by his widow. Wooden sculpture of a stylised beaver, carved out of a single piece of huon pine. "R.WALKER" is engraved on the base of the sculpture."R.WALKER"sculpture -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Equipment - Gravigard IUD associated with Dr Lachlan Hardy-Wilson, Searle Laboratories
Copper intrauterine devices (IUDs), first marketed in the early 1970s, represent an important contraceptive option for 150 million women worldwide. The method is safe, rapidly reversible, inexpensive, highly effective, long-acting (up to 20 years for some products [1]), and non-hormonal; these attributes make it unique and desirable for many users. However, increased bleeding and pain cause up to 15% of users to have the device removed within the first year [2]; still higher percentages tolerate some level of these side effects yet retain use of the method. In one study, 67% of women using the TCu380A complained about menstrual side effects within the first year of use [3]. (Hubacher et al, 'Side effects from the copper IUD: do they decrease over time?', 2009)This is one of a collection of items received from the practice of Dr Lachlan Hardy-Wilson, FRCOG, Launceston, Tasmania.Sealed Gravigard IUD in original box. IUD and inserter are sealed inside a sterile plastic pocket. The box is made of cardboard and has an orange top panel with white sides. Text printed on the front of the box reads '1 Sterile Pack/Gravigard*/contraceptive/copper/contraceptive/FRAGILE/Do not bend or crush/SEARLE'. Text printed on side of box reads 'Made in England Supplied by Searle Laboratories, Division of Searle Australia Pty. Ltd., Sydney, Australia'.intrauterine device -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Equipment - Multiload CU250 IUDs associated with Dr Lachlan Hardy-Wilson, Multilan S.A, 1984
Multiload is an IUD, an intrauterine device used for contraception. The plastic used in this IUD is a mixture of high density polyethylene, ethylene vinyl acetate copolymer and barium sulphate in a weight ratio 44/36/20. (MIMS, October 2013)This is one of a collection of items received from the practice of Dr Lachlan Hardy-Wilson, FRCOG, Launceston, Tasmania.Two flat boxes containing Multiload CU250 intrauterine devices. Front of each box carries an image of a hand holding an IUD inserter, with the Multiload IUD at the top of the inserter, above a blue background on which an image of a vagina has been superimposed. Text printed on the front of the box reads 'MULTILOAD/CU250/intra-uterine/device/Attention:/the enclosed instructions should be followed carefully before insertion of the MULTILOAD-cu250'. Manufacturer's information is printed on the bottom section of the front of the box. Back of each box is printed with distributor information. One box is sealed, and one box is unsealed. Unsealed box contains one IUD, sealed inside a sterile plastic pocket. Back of sterile pocket is printed with an expiration date of 06-12-1984. The IUD is in the form of a small plastic rod, or stem, with two small flexible side-arms. Each side arm has five small protrusions. A copper wire is wound around the stem. A nylon thread with two ends is attached to the bottom end of the stem. Back of sealed box carries a sticker which reads 'Date of manufacture: /12-08-1984'.intrauterine device -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Framed portrait of Sir James Young Simpson
This print of Sir James Young Simpson (1811-1870) was given to the College by Robyn Adams, the daughter of the late obstetrician Gordan Findlay. The portrait was gifted to Dr Findlay when he stated his obstetrical practice in Wellington in 1945. The portrait was then passed to Robyn’s late husband, dermatologist Dr John Adams FRACP FACD, and hung on the wall of his dermatology practice in Wellington until 2014. Sir James Young Simpson was a significant figure in the field of obstetrics. Admitted to the University of Edinburgh at the age of fourteen, he was responsible for introducing the use of chloroform for safe analgesia in childbirth, as well as for the development of an ‘air extractor’ (the forerunner to the modern vacuum extractor) and the creation of obstetric forceps with both long and short handles. Significantly, Simpson’s long handled forceps also became the prototype for many subsequent British designs.Charcoal print in an oval shaped wooden frame. Print features a head and shoulders portrait image of a man, pictured slightly side on with his eyes looking to the left of the viewer. The main is wearing a coat, waistcoat, and a shirt buttoned up to the collar, and has dark coloured hair reaching to his shoulders.anaesthesia -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Equipment - Forceps associated with Dr Lachlan Hardy-Wilson
This is one of a collection of items received from the practice of Dr Lachlan Hardy-Wilson, FRCOG, Launceston, Tasmania.Set of straight metal forceps, resembling elongated scissors. The tips of the forceps are serrated for grip, and there is a notch system for clamping the forceps near the handles.surgery -
Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Document - 'Are Pap Smears necessary after a Hysterectomy?' information pad associated with Dr Lachlan Hardy-Wilson
This is one of a collection of items received from the practice of Dr Lachlan Hardy-Wilson, FRCOG, Launceston, Tasmania.A4 sized paper pad containing a set of single page information sheets about the relevance and usefulness of a papsmear after a hysterectomy. Designed so that pages can be torn off to be given to patients one by one.surgery, women's health