Exam

Cervical Examination in Labor

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Cervical Examination in Labor, Uterine Cervical Length

  • Technique Mnemonic
  • 5C's
  1. Clean (Sterile technique)
  2. Catheterize or empty Bladder before examination
  3. Cervical evaluation (See Bishop Score)
    1. Cervical Dilation
    2. Cervical Effacement
  4. Caput forming?
  5. Cord
    1. Indicated by pulsations behind membranes
  • Evaluation
  • (Mnemonic 5P's)
  1. Presentation
    1. See Fetal Presentation
  2. Position
    1. See Fetal Position
  3. Place (Station)
    1. See Bishop Score
  4. Pelvis
    1. See Pelvimetry
  5. Puncture (Assess for Rupture of Membranes)
  • References
  1. Gordon (1995) Obstetrics and Gynecology, Scrub, p. 17