How do you examine an obstetric patient?

How do you examine an obstetric patient?

Obstetric examination focuses on uterine size, fundal height (in cm above the symphysis pubis), fetal heart rate and activity, and maternal diet, weight gain, and overall well-being. Speculum and bimanual examination is usually not needed unless vaginal discharge or bleeding, leakage of fluid, or pain is present.

What is an obstetric examination?

The obstetric examination is a type of abdominal examination performed in pregnancy. It is unique in the fact that the clinician is simultaneously trying to assess the health of two individuals – the mother and the fetus.

How do they perform a fetal exam?

Objectives

1. Determine the gestational age from the size of the uterus.
2. Measure the symphysis-fundus height.
3. Assess the lie and the presentation of the fetus.
4. Assess the amount of liquor present.
5. Listen to the fetal heart.
6. Assess fetal movements.
7. Assess the state of fetal wellbeing.

What is abdominal examination in pregnancy?

Abdominal examination during labour Reasons for carrying out abdominal examination in labour are to determine the gestational age, the lie, the position, presentation and engagement of the fetal head and to listen to the fetal heart. The progress of labour is assessed as is descent and rotation of the presenting part.

How do you palpate?

There are five steps to palpating the abdomen:

1. Wash and warm your hands so they are warm when you touch the patient’s skin.
2. Communicate with the patient and ask them to tell you where the most painful region is during palpation.
3. Palpate with light pressure then deep pressure.
4. Palpate all four quadrants.

How do Obgyn measure your belly?

The doctor will place a measuring tape at the top of your pubic bone and run the tape to the top of your growing belly (where your uterus ends that week). That measurement is the fundal height. in centimeters, it should measure about the same as your current week of pregnancy.

How is pelvic exam done during pregnancy?

During a pelvic exam, your doctor inserts two gloved fingers inside your vagina. While simultaneously pressing down on your abdomen, he or she can evaluate your uterus, ovaries and other pelvic organs.

How do you self check if baby is engaged?

There are a few symptoms that your baby’s head has engaged, but these may vary from mother to mother.

1. Lowered baby bump. When your baby’s head has moved into the pelvis, it may seem like your baby bump has shifted downward.
2. Increased urge to pass urine.
3. Presence of back or pelvic pain.
4. Improved breathing.
5. Increased appetite.

How do you feel fundus?

Feel for the fundus of the uterus. This is done by starting to gently palpate from the lower end of the sternum. Continue to palpate down the abdomen until the fundus is reached. When the highest part of the fundus has been identified, mark the skin at this point with a pen.

What is the obstetric abdominal examination OSCE guide?

This obstetric abdominal examination OSCE guide provides a clear step-by-step approach to examining the pregnant abdomen, with an included video demonstration. Download the obstetric abdominal examination PDF OSCE checklist, or use our interactive OSCE checklist.

What is the obstetrics and Gynaecology Guide?

A collection of obstetrics and gynaecology OSCE guides, including bimanual vaginal examination, pregnant abdomen examination and more.

What is the geeky medics exam?

Prepare for exams with our medical finals question pack. “The Geeky Medics quiz platform tests students on clinically relevant anatomy that integrates medical science and physical examination – it prepares them for the clinical world.” Jvp examination geeky medics. 3:07.

Should I change the field of obstetric abdominal examination?

This field is for validation purposes and should be left unchanged. Obstetric abdominal examination frequently appears in OSCEs and you’ll be expected to pick up the relevant clinical signs using your examination skills.