Emergent delivery: Difference between revisions

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==Physical Examination ==
==Physical Examination ==
 
===Digital Examination of the Vagina===
 
# Cervical Dilatation
Digital Examination of the Vagina
## 0 cm (closed/fingertip) to 10 cm (complete/fully dilated)
 
# Effacement
1) Cervical Dilatation
## assessment of the cervical length
 
## percentage of normal 3-4 cm long cervix  
* 0 cm (closed/fingertip) to 10 cm (complete/fully dilated)
## 4cm cervix = 0%; 0cm (thin) cervix = 100%
2) Effacement
# Station (-5 to +5)
 
## (distance of the presenting body relative to the maternal ischial spines)
* assessment of the cervical length
### -3 = beginning of second stage of labor
* percentage of normal 3-4 cm long cervix  
### 0 = in line with the plane of the maternal ischial spines
* 4cm cervix = 0%; 0cm (thin) cervix = 100%
### +3 = impending delivery
3) Station (-5 to +5)
### +4 to +5 = crowning
 
* (distance of the presenting body relative to the maternal ischial spines)
* -3 = beginning of second stage of labor
* 0 = in line with the plane of the maternal ischial spines
* +3 = impending delivery
* +4 to +5 = crowning
   
   
[[Category:OB/GYN]]
[[Category:OB/GYN]]

Revision as of 23:47, 28 March 2011

Physical Examination

Digital Examination of the Vagina

  1. Cervical Dilatation
    1. 0 cm (closed/fingertip) to 10 cm (complete/fully dilated)
  2. Effacement
    1. assessment of the cervical length
    2. percentage of normal 3-4 cm long cervix
    3. 4cm cervix = 0%; 0cm (thin) cervix = 100%
  3. Station (-5 to +5)
    1. (distance of the presenting body relative to the maternal ischial spines)
      1. -3 = beginning of second stage of labor
      2. 0 = in line with the plane of the maternal ischial spines
      3. +3 = impending delivery
      4. +4 to +5 = crowning