Vaginal Examination

  1. Vulva-vagina (check for abnormalities- varicosity, vesicles etc)
  2. Os (determine this by measuring one’s fingers)
  3. Cervix dilation, consistency, , thickness, length, position (anterior, axial, posterior) – both lips felt ~8cm , single lip felt ~ 9cm, no lips felt = fully
  4. Station – largest diameter of presenting part in relation to pelvic ischial spines
  5. Vertex (head felt)
  6. Membrane intact/absent- (slippery, balloon-like, bulging)
  7. no cord/placenta felt (tubal structure, pulsatile, rough, soft)

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