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Basic Obstetrics and Gynaecology Examination

Basic Obstetrics and Gynaecology Examination. Dr Praneil Patel O&G. Preparation History Obstetrics Gynaecology. Preparation. Clean your hands Consent Explain your actions Privacy Chaperone Equipment. History. Full medical History Obstetric History Family History

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Basic Obstetrics and Gynaecology Examination

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  1. Basic Obstetrics and Gynaecology Examination Dr Praneil Patel O&G

  2. Preparation • History • Obstetrics • Gynaecology

  3. Preparation • Clean your hands • Consent • Explain your actions • Privacy • Chaperone • Equipment

  4. History • Full medical History • Obstetric History • Family History • Pregnancy Risk Factors

  5. 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

  6. Gynaecology • Abdominal Examination • Patient positioning • Examine external genitalia • Speculum

  7. Trouble? • Try re-inserting the speculum • Valsalva • Reposition • Alternate speculum • Gloves • VE

  8. 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

  9. Obstetrics • Examine the abdomen • Measure symphysis fundal height • Assess presentation & engagement • Auscultate FH

  10. Don’t Forget • Assess BP • Urine dip • Oedema • Reflexes & clonus

  11. Obstetric examination • Common place in DAU, Triage, labour ward. • Consider sterility & need for swabs • Why are you doing the speculum? • Fibronectin Test

  12. 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

  13. Tips • Practise practise practise • Coordinators • Inductions • Sweeps • ARMs

  14. Thank You • Any questions? • Or any other hints people can think of?

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