Allows greater accuracy in determining the following –
- Condition and Dilatation of the cervix.
- Station and Position of the presenting part.
- Relationship of the fetus to the pelvis.
- Early diagnosis of abnormal presentation.
- Identify, complications as :
- Cord prolapsed.
- Placenta previa.
All pregnant women.
The examination is done per vagina to detect the status of the vagina and cervix to assess the progress of labour as the fetal presenting part descends through the birth canal.
Gyneac & Obstetric Department and Gyneac & Obsteric OPD.
Consultant, Medical Officer, Staff Nurse, Auxillary Nurse Midwife and Head Nurse.
- Sterile or disposable gloves
- Lubricant (K.Y.Gel)
- Explain the procedure to the woman.
- Instruct woman to empty her Bladder before beginning examination.
- Provide privacy.
- Assist woman into supine position on exam table with lower extremities flexed and rotated outward, her heels should be supported in stirrup which are in level with the table about 1-2 ft. in front of her buttocks (Lithotomy position).
- Assist the woman to relax by encouraging her to breathe naturally.
- Expose the area for examination.
- Prepare the area with antiseptic solution.
- Put on gloves, from standing position using thumb and forefinger of non-dominant hand to spread the libia.
- Insert the well lubricated index and middle fingers of dominant hand into the vagina until they touch the cervix, using downward and upward direction and keep thumb of dominant hand upward and supported on vulva.
- Provide care with antiseptic solution and put on sterile pad after care.
- Remove the equipments & gloves.
- Wash hands.
Nurse’s Observation Sheet