Basic Obstetrics and Gynaecology Examination Dr Praneil Patel O&G.
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Transcript of Basic Obstetrics and Gynaecology Examination Dr Praneil Patel O&G.
Basic Obstetrics and Gynaecology Examination
Dr Praneil PatelO&G
• Preparation • History• Obstetrics • Gynaecology
Preparation
• Clean your hands• Consent• Explain your actions• Privacy• Chaperone• Equipment
History
• Full medical History
• Obstetric History
• Family History
• Pregnancy Risk Factors
Definitions
Gravidity – defined as the number of times a woman
Parity – Defined as the number of times a woman has given birth to a fetus >24/40
Gynaecology
• Abdominal Examination• Patient positioning• Examine external genitalia• Speculum
Trouble?
• Try re-inserting the speculum• Valsalva• Reposition• Alternate speculum• Gloves• VE
Bimanual Examination
• Patient positioning• Use both hands!• Place non-dominant hand on abdomen• Insert 1-2 fingers into the vagina, posterior to
the cervix - size - cervical excitation- position - adnexal masses/excitation- mobility
Obstetrics
• Examine the abdomen• Measure symphysis fundal height• Assess presentation & engagement• Auscultate FH
Don’t Forget
• Assess BP• Urine dip• Oedema• Reflexes & clonus
Obstetric examination
• Common place in DAU, Triage, labour ward.• Consider sterility & need for swabs• Why are you doing the speculum?• Fibronectin Test
Digital PV examination
• Consider whether it is necessary?
• What information do you want to know?- Dilatation - Membranes/Liquor- Consistency - Fetal position- Length - Caput- Position - Moulding- Station
Tips
• Practise practise practise• Coordinators• Inductions• Sweeps• ARMs
Thank You
• Any questions?
• Or any other hints people can think of?