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

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

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

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

13. 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

14. Tips Practise practise practise Coordinators Inductions Sweeps ARMs

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