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 Pregnancy Risk Factors

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

Gynaecology Abdominal Examination Patient positioning Examine external genitalia Speculum

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

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

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

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

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

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

Tips Practise practise practise Coordinators Inductions Sweeps ARMs

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