Handy infographic that shows what you can expect at each antenatal appointment during your pregnancy. Think about the prenatal screening tests you might have, and whether you want a dating scan to confirm your due date. Read more on Better Health Channel website. Most women will have at least one ultrasound scan during their pregnancy. It usually takes place between 18 weeks and 21 weeks. Questions to ask your doctor about the tests and scans you will be offered during your pregnancy. In the second trimester of pregnancy, you may be offered to have an morphology scan anomaly scan.
Learn about what it looks for and when it is performed. A dating scan is an ultrasound scan to determine how many weeks pregnant you are and your due date. Learn more about how the procedure is performed. Placenta accreta is a serious but rare pregnancy complication that causes heavy bleeding. If you have it, you will need special care at the birth. Read more on HealthEngine website. Pregnancy, Birth and Baby is not responsible for the content and advertising on the external website you are now entering.
Video call. This information is for your general information and use only and is not intended to be used as medical advice and should not be used to diagnose, treat, cure or prevent any medical condition, nor should it be used for therapeutic purposes. The information is not a substitute for independent professional advice and should not be used as an alternative to professional health care.
Next, they will insert a lubricated speculum into the vagina to widen it, and make the internal organs easier to see. Then, they may perform a Pap smear. This involves taking a sample of cells from the cervix to check for abnormalities, especially cervical cancer.
They may also take a sample of vaginal discharge, to check for infections. Next, they will remove the speculum and perform a bimanual examination. This involves placing two fingers inside the vagina and pressing down on the pelvis with the other hand.
The aim is to check for changes or abnormalities in the reproductive organs. The doctor may then conduct a rectal exam, by inserting a gloved finger in the rectum to check for tumors and other abnormalities behind the vaginal wall, uterus, and rectum. The doctor or nurse practitioner will ask the person if they have any questions or concerns.
It is important to be honest about topics relating to sexual health. After a Pap smear, the doctor will inform the person of their results. If necessary, they will request further testing, either after the exam or after receiving results. Doctors perform pelvic exams during pregnancy for the same reasons. They look for abnormalities and infections.
Also, a pelvic exam can help a doctor to evaluate the size of the pelvis and cervix. This will help them to evaluate whether cervical weakness could lead to miscarriage or preterm labor. Pelvic exams are usually done early on in pregnancy. If there are no complications, another exam is performed at around 36 weeks, to check for changes to the cervix. After that, the doctor will perform an exam as often as needed to determine if the person is in labor.
There is little information about the risks of pelvic exams during pregnancy. It is possible that an exam may increase the risk of infection. No matter what the situation you should agree to go through the test. Moreover, your doctor should explain in detail prior to the exam why it is important for your condition. Do not panic if there is spotting after a pelvic exam during pregnancy. A light bleeding after pelvis exam during pregnancy is pretty normal.
But if heavy bleeding occurs post a pelvic exam that could pose an issue. Consult your doctor immediately if in case bleeding continues for over 24 hours.
Sign in. Forgot your password? Get help. Create an account. Password recovery. FirstCry Parenting. The sagittal suture is palpated and the relationship or closeness of the two adjacent bones assessed.
When assessing the pelvis, the size and shape of the pelvic inlet, the mid-pelvis, and the pelvic outlet must be determined. Figure 8B Lateral view of the pelvis, showing the examining fingers just reaching the sacral promontory. Lateral to the midsacrum, the sacrospinous ligaments can be felt. If these ligaments are followed laterally, the ischial spines can be palpated.
Put 2 examining fingers, with the palm of the hand facing upwards, behind the symphysis pubis and then move them laterally to both sides:. To measure the subpubic angle, the examining fingers are removed from the vagina and turned so that the palm of the hand faces upward, a third finger is held at the entrance of the vagina introitus and the angle under the pubis felt.
The intertuberous diameter is measured with the knuckles of a closed fist placed between the ischial tuberosities. Did you know? Training and learning can be easier on paper. Buy our books now, or order in bulk at low cost. Bettercare Learning Programmes Maternal Care 8b. Skills: Vaginal examination in labour. Assess the state of the cervix. Assess the presenting part. Assess the size of the pelvis. Preparation for a vaginal examination in labour A. Equipment that should be available for a sterile vaginal examination A vaginal examination in labour is a sterile procedure if the membranes have ruptured or are going to be ruptured during the examination.
The basic necessities are: Swabs. Tap water for swabbing. Sterile gloves. A suitable instrument for rupturing the membranes. An antiseptic vaginal cream or sterile lubricant. Preparation of the patient for a sterile vaginal examination Explain to the patient what examination is to be done, and why it is going to be done. The woman needs to know that it will be an uncomfortable examination, and sometimes even a little painful.
The patient should lie on her back, with her legs flexed and knees apart. Do not expose the patient until you are ready to examine her. It is sometimes necessary to examine the patient in the lithotomy position. This is done by first swabbing the labia majora and groin on both sides and then swabbing the introitus while keeping the labia majora apart with your thumb and forefinger. Sterile gloves must be worn.
The examiner must think about the findings, and their significance for the patient and the management of her labour. Procedure of examination A vaginal examination in labour is a systematic examination, and the following should be assessed: Vulva and vagina.
Presenting part. Always examine the abdomen before performing a vaginal examination in labour. An abdominal examination should always be done before a vaginal examination. The vulva and vagina D. Important aspects of the examination of the vulva and vagina This examination is particularly important when the patient is first admitted: When you examine the vulva you should look for ulceration, condylomata, varices and any perineal scarring or rigidity.
When you examine the vagina, the presence or absence of the following features should be noted: A vaginal discharge. A full rectum. A vaginal stricture or septum. Presentation or prolapse of the umbilical cord. A speculum examination, not a digital examination, must be done if it is thought that the patient has preterm or prelabour rupture of the membranes.
The cervix When you examine the cervix you should observe: Length.
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