Cervical Examination in Labour

OBGYN · OBGYN · 10–20 min

Digital assessment of cervical dilatation, effacement, station, membranes and presentation.

Indications

  • • Labour assessment
  • • PROM assessment

Contraindications

  • ⚠ Placenta previa
  • ⚠ PPROM without indication

Equipment

  • • Sterile gloves
  • • Antiseptic
  • • Chaperone

Positioning

  • • As appropriate for the procedure and patient comfort.

Consent

  • • Explain indication, benefits, alternatives
  • • Explain risks & complications
  • • Obtain written/verbal consent as per SOP
  • • Document consent

Universal precautions

  • • Hand hygiene
  • • PPE — gloves, mask, eye protection
  • • Aseptic technique
  • • Sharps safety
  • • Verify patient identity & site

Step-by-step (0/4)

Tap to complete

Explain.

Immediate complications

  • ⚠ Ascending infection

Prevention

  • • Aseptic technique
  • • Minimum exams

Post-procedure observation

  • • Vitals q15min × 1h then hourly

Monitoring

  • • Site inspection
  • • Symptom review

Documentation

  • • Procedure note
  • • Consent
  • • Findings

Patient instructions

  • • Report pain, bleeding, fever, worsening symptoms

Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.

WardRound

WardRound

Clinical Decisions in Seconds