Objectives In Tunisia, cervical cancer is the third cancer in women affecting 250 to 300 women/year. Unfortunately, patients are still diagnosed in an advanced stage. Midwives hold a capital role in cervical cancer screening since they are the first line of our national screening program. We aim through this work to prove their efficiency in reducing the incidence of invasive cervical cancer.

Methods Data were collected from registries of the Family Planning Center of Nabeul, Tunisia, from January 2015 to December 2019.

Results From January 2015 to December 2019, 3745 PAP smears were performed (the mean number was 740 PAP smears per year). For 2801 women (73.6%), it was the first time they had a PAP smear, and for 944 women (26.4%), it was the second time. Time to response was 5.5 weeks (range 3 to 8.6). Normal cytology represented 74.74%. Inadequate PAP smear represented only 2.1%. The inflammatory cytology was rated 20.5%. Atypical squamous cells of undetermined significance (ASC-US) represented 0.55% of all specimens. Low-grade squamous intraepithelial lesions (LSIL) were 0.94%. High-grade squamous intraepithelial lesions (HSIL) represented 0.90%.

Conclusions These data showed that midwives could correctly perform PAP smear, thereby confirming their substantial role in cervical cancer screening.