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PV Examination

The document outlines the steps for a speculum examination and bimanual examination during pregnancy or labor. It details preliminaries like toileting and wearing gloves. It describes examining the cervix for dilation, effacement, position of the presenting part, and station of the head. Features of different fetal positions like occiput anterior and face presentations are provided. Measurements like cervical length are also explained.

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Raghu Rajan
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334 views19 pages

PV Examination

The document outlines the steps for a speculum examination and bimanual examination during pregnancy or labor. It details preliminaries like toileting and wearing gloves. It describes examining the cervix for dilation, effacement, position of the presenting part, and station of the head. Features of different fetal positions like occiput anterior and face presentations are provided. Measurements like cervical length are also explained.

Uploaded by

Raghu Rajan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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 INSPECTION

 SPECULUM EXAMINATION

 BIMANNUAL EXAMINATION
 PRELIMINARIES
 TOILETING
 WEAR STERILE GLOVES
 VULVAL TOILETING
 SEPARATING LABIA BY TWO FINGERS
 INTRODUCING MIDDLE AND INDEX
FINGER OF RIGHT HAND WITH
ANTISEPTIC CREAM
 EXAMINE
 CERVIAL DILATATION
 DEGREE OF EFFACEMENT
 STATUS OF MEMBRANES
 PRESENTING PART AND POSITION
 CAPUT OR MOULDING
 STATION OF HEAD
 ONSET OF LABOUR

 PROGRESS OF LABOUR

 FOLOWING RUPTURE OF MEMBRANE

 TO CONFIRM THE ACTUAL COINCIDENCE


OF BEARING DOWN EFFORTS
 LOOK FOR ULCERATION, CONDYLOMATA,
VARICES AND ANY SCARRING

 NOTE FOR DISCHARGE, FULL RECTUM,


VAGINAL STRICTURE, PROLAPSE OF
CORD
 OBSERVE FOR LENGTH AND DILATATION
 MEASURING CERVICAL LENGTH
IT IS THE DISTANCE BETWEEN THE
INTERNAL OS AND EXTERNAL OS.
 THE ENDO CERVICAL CANAL IS 3 CM LONG
WITH UNEFFACED CERVIX.
 IT IS MEASURED IN CENTIMETERS
 IT IS MEASURED BY COMPARING THE
DEGREE OF SEPARATION OF THE FINGERS
ON VAGINAL EXAMINATION, WITH
SEPARATION OF FINGERS ON VAGINAL
EXAMINATION
 FEATURES OF OCCIPUT PPRESENTATION
 POSTERIOR FONTANELLE IS NORMALLY
FELT
 DIAMOND SHAPED STRUCTURE
 FACE PRESENTATION
 INSTEAD OF A FIRM SKULL SOMETHING
SOFT IS FELT
 ORBITAL RIDGES ABOVE EYES FELT
 EARS FELT
 ANTERIOR FONTANELLE FELT
 THE ROOT OF NOSE AND ORBITAL RIDGES
FELT
 SOFT PART FELT
 ANUS AND ISHIAL TUBEROSITIES FORM
STRAIGH LINE
 IT IS THE OVERLAPPING OF FETAL SKULL
BONES AT A SUTURE WHICH MAY OCCUR
DURING LABOUR DUE TO THE HEAD
BEING COMPRESSED AS IT PASSES
THROUGH THE PELVIS

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