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Vaginal Examination

Vaginal examination is a procedure to assess the vagina, cervix, and fetal descent during labor. It is indicated for diagnosing the second stage of labor, monitoring progress, and following membrane rupture. The process involves psychological preparation, physical positioning, and careful observation of the external genitalia and cervical status.

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460 views14 pages

Vaginal Examination

Vaginal examination is a procedure to assess the vagina, cervix, and fetal descent during labor. It is indicated for diagnosing the second stage of labor, monitoring progress, and following membrane rupture. The process involves psychological preparation, physical positioning, and careful observation of the external genitalia and cervical status.

Uploaded by

annmarygeorge495
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

VAGINAL EXAMINATION

DEFINITION
It is a examination done per vagina to assess the status of
vagina , cervix and progress of descents of fetus through birth
canal.
PURPOSE
To assess the progress and delay of labour.

INDICATION
-To diagnose beginning of 2nd stage of labour
-Following the rupture of membranes
-Progress of labour
- At the onset of labour
ARTICLES
-Swabs Sterile
-Sponge holding forceps
-Gynaepad
-Betadine solution 
-Drawsheet sterile
-Lubricating jelly
-Shoe cover
-Mask
-Plastic apron
-Gloves
-Cap
PSYCHOLOGICAL PREPARATION
-Ensurance of privacy
-Relaxing of abdominal and perineal muscles
-Deep breathing during the procedure
- Take informed consent
- Explain procedure to her

PRE-PROCEDURAL STEPS PHYSICAL PREPARATION


- Provide lithotomy position
- Provide perineal care to her
-Bladder should be empty
-Remove pubic hair
- Give Loose gown to wear

INTRA-PROCEDURAL STEPS
- Wear cap, mask and plastic apron
-DO SURGICAL HAND WASHING
-WEAR STERILE GOWN AND STERILE GLOVES
-PROVIDE DORSAL RECUMBANT POSITION WITH LEGS FLEXED
AT THE EDGE OF THE EXAMINATION TABLE

OBSERVE EXTERNAL GENITALIA FOR THE FOLLOWING:


Vericosities, warts & sores Previous episiotmy & laceration
Discharge & bleeding Show Color & odor of AF
-CLEASEN THE VULVA & PERINEAL AREA WITH BETADINE
SOLUTION
-DRAPE THE PERINEAL AREA WITH STERILE SHEET .
-HOLDING THE LABIAAPART FROM LEFT HAND, INSERT RT.
HAND ----GLOVED FINGER IN TO THE VAGINA

NOTE THE FOLLOWING:


VULVA: • Buldging, soft • stretchable EFFACEMENT • Taking
up/ shortening of cervix (0-100%)
DILATATION • Gaping of internal os • 0-10 cm

POSITION • Central • Lateral


FOREWATER • PRESENT • ABSENT
STATION OF HEAD • Llevel of presenting part in r/t ischial
spines
• Minus plus

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