Vaginal examination pocket guides

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Thus, they are not intended to override clinicians' judgment. All ACP clinical practice guidelines are considered automatically withdrawn or invalid 5 years after publication, or once an update has been issued. Disclaimer: The authors of this article are responsible for its contents, including any clinical or treatment recommendations.

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Jump to navigation. Vaginal examinations provide information on how widely dilated the cervix is, how much it has thinned and the position of the presenting part of the baby in the mother's pelvis. This is part of assessing the woman's progress in labour, although knowing the dilation of the woman's cervix is a poor predictor of when she will give birth.

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Digital vaginal examination at intervals of four hours is recommended for routine assessment of active first stage of labour in low-risk women. Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors. WHO recommendation on digital vaginal examination.

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It involves examining cells taken from the cervix under a microscope. If any are found, further testing, such as a colposcopy or biopsy, will be done in order to diagnose cancer. The test is named after George Papanicolaou, the Greek doctor who invented the procedure in the early s.

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For gynecologic care, a woman should choose a health care practitioner with whom she can comfortably discuss sensitive topics, such as sex, birth control, pregnancy, and problems related to menopause. The practitioner may be a doctor, a nurse-midwife, a nurse practitioner, or a physician assistant. A gynecologic evaluation includes the gynecologic history and gynecologic examination.

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A pelvic exam is an examination of the internal and external organs in your pelvis, including the vagina, vulva, uterus, cervix, rectum, ovaries, and fallopian tubes. During the exam, your doctor checks your pelvic area visually and physically to make sure everything is normal. You may also have a Pap smear and a test for certain sexually transmitted diseases STDs at the same time.

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Digital vaginal examination at intervals of four hours is recommended for routine assessment of active first stage of labour in low-risk women. Bacterial infections during labour and the puerperium are among the leading causes of maternal mortality worldwide, accounting for about one tenth of the global burden of maternal deaths. Most of the estimated 75, maternal deaths occurring worldwide yearly as a result of infections are recorded in low-income countries.

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A bimanual vaginal examination can be performed for a number of different clinical indications including unexplained pelvic pain, irregular vaginal bleeding, vaginal discharge and assessment of a pelvic mass. It frequently appears in OSCEs and you will be required to demonstrate appropriate clinical and communication skills. This guide demonstrates how to perform a bimanual vaginal examination in an OSCE setting. Check out the vaginal examination OSCE mark scheme here.

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