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    Obs Exam Slide

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    RAFID THALIB
    This document outlines the key components of an obstetric examination, including: 1. It describes common obstetric cases and factors to consider in the obstetric history such as age, gravidity, parity, LMP, and history of present and previous pregnancies. 2. The abdominal examination evaluates uterine size and fetal position, presentation, lie, and engagement using palpation techniques. 3. The vaginal examination assesses cervical dilation, effacement, position, and consistency as well as fetal station, caput, moulding, and membranes.

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    Obs Exam Slide

    Uploaded by

    RAFID THALIB
    43 views12 pages
    This document outlines the key components of an obstetric examination, including: 1. It describes common obstetric cases and factors to consider in the obstetric history such as age, gravidity, parity, LMP, and history of present and previous pregnancies. 2. The abdominal examination evaluates uterine size and fetal position, presentation, lie, and engagement using palpation techniques. 3. The vaginal examination assesses cervical dilation, effacement, position, and consistency as well as fetal station, caput, moulding, and membranes.

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    This document outlines the key components of an obstetric examination, including: 1. It describes common obstetric cases and factors to consider in the obstetric history such as age, gravidity, parity, LMP, and history of present and previous pregnancies. 2. The abdominal examination evaluates uterine size and fetal position, presentation, lie, and engagement using palpation techniques. 3. The vaginal examination assesses cervical dilation, effacement, position, and consistency as well as fetal station, caput, moulding, and membranes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    43 views12 pages

    Obs Exam Slide

    Uploaded by

    RAFID THALIB
    This document outlines the key components of an obstetric examination, including: 1. It describes common obstetric cases and factors to consider in the obstetric history such as age, gravidity, parity, LMP, and history of present and previous pregnancies. 2. The abdominal examination evaluates uterine size and fetal position, presentation, lie, and engagement using palpation techniques. 3. The vaginal examination assesses cervical dilation, effacement, position, and consistency as well as fetal station, caput, moulding, and membranes.

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    STATUS OBSTETRI

    Selly Septina, SpOG


    CASES

     Obstetrics:

    1. A normal pregnancy delivery and puerperium


    2. Antepartum/postpartum haemorrhage
    3. An abnormality of fetal growth and development
    4. Pre-eclampsia
    5. Medical disease complicating pregnancy
    6. Multiple pregnancy
    7. Abnormal labour
    8. A third stage abnormality
    Obstetric History
     Age
     Gravidity
     Parity- (Preg>24 wks)+(Preg< 24wks)
     LMP; menstural cycle; conceived on pill; EDD

     History of this pregnacy :


     Presenting complaints- when did they occur & how
    long they lasted, any investigation or treatment
    already ?
     Low/high risk pregnancy?
     Any problems in antenatal care so far ?
     Fetal movements
    Obstetric History
     Previous pregnancy:
    - Previous miscarriages
    - Gestation & mode of delivery
    - Length of labour & complications
    - Third stage complications
    - Postnatal problems

     Medical & surgical history


     Drug history & allergies
     Family history- hereditary disorders, HTN,DM, twins or
    congenital malformation
     Social history- smoking, alcohol, drug misuse, occupation,
    housing & marital status
    Examination

     General examination
    -Colour
    -Hand, eyes & mouth
    -Presence of oedema
    -BP & Urine
    -CVS & Respiratory system
    examination
    Abdominal Examination

     Inspection: abdominal scars


    striae gravidarum
    linea nigra
    oedema
    Abdominal palpation
    P alpation of pregnant abdomen:
    1. Examination of uterine
    fundus

    Symphysio- fundal
    height(cm)

    2. Fetal back

    3. Presenting part e.g vertex,


    breech

    4. Engagement of presenting
    part

    Four maneuvers
    of leopold
    Lie of Fetus

    Lie: relationship of long.


    axis of fetus to long.axis
    of uterus e.g longitudinal,
    transverse, oblique

    Longitudinal lie

    Transverse lie
    Presentation of fetus

    Presentation:
    presenting part of fetus
    occupying the lower pole
    of uterus i.e
    ceph(vertex),
    breech,face,brow or
    shoulder
    Abdominal Examination

    1. Left Occipito- anterior


    Position: Relation of
    denominator 2. Left Occipito- posterior
    (occiput/ sacrum) of
    presenting part to the
    quadrants of pelvis e.g

    LOA,LOP
    Vaginal Examination
     Vulva & vagina

     Cervix-dilatation ,effacement, position & consistency

     Presenting part i.e Vertex

     Station-cm in relation to the ischial spine

     Caput-swelling on the scalp superficial to periosteum of


    cranium ,as a result of venous congestion, on the part of head
    most in advance

     Moulding- Overriding of the bones of skull

     Membranes & Liquor


    Vaginal Examination

    Station -3

    Station +3

    Station- position of presenting part


    (PP) in cm in relation to the ischial
    spine

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