Sponsored Links
Results 1 to 3 of 3
  1. #1
    RAMAIR57 is offline Member
    Join Date
    Nov 2003
    Posts
    161
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts

    I need help w/ checking cervical dilation!!

    Advertisements



    So Im doing OB now, and for the life of me, I cannot gauge cervical dilation. Its not that I cant determine how dilated it is (thats the easy part), its that when a woman is pregnant, I cannot find the cervix at all. It just seems like a lot of soft tissure. I am getting very frustrated by this! Today, a lady came in, and was 8cm dilated, and I couldnt make heads or tails from the vagianl exam. Good thing I had my attending take a look. Any tips for me; like I said, I am clueless as to why I cant even feel the cervix. I feel so incompetent!!!

  2. #2
    TheFooBar's Avatar
    TheFooBar is offline Elite Member 8339 points
    Join Date
    Sep 2008
    Location
    I live on the edge.
    Posts
    2,750
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    Have you discussed this with your OB/GYN attending?
    SGU SOM Dropout, M.D.

  3. #3
    Crispy's Avatar
    Crispy is offline Senior Member
    Join Date
    Apr 2005
    Location
    Bristol, TN
    Posts
    1,262
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    It takes time to get the cervical exam down. You can ask the nurses for help. If the woman is still high, ask her to put her fists under her very lower back and it will help tilt the pelvis up. Sometimes you have to hook the cervix with one finger and bring it around if she is really posterior. We didn't get to check anyone on my OB rotation so I have had to learn in residency but after a couple of weeks I am able to find the cervix (in most women, there are some that are too high for me to reach with my short fingers). Use your nurses in the OB rotation and be very nice to them. Even though I'm doing FM, we are a very heavy OB.

Similar Threads

  1. checking gpa
    By Keyser112 in forum St. Georges University School of Medicine
    Replies: 7
    Last Post: 05-16-2010, 11:26 AM
  2. just checking in
    By asclepius in forum Medical University of the Americas (MUA) Nevis
    Replies: 1
    Last Post: 08-21-2009, 10:21 PM
  3. Replies: 2
    Last Post: 10-19-2007, 02:52 PM
  4. sexually active female with cervical motion tenderness
    By asmii in forum Microbiology And Immunology
    Replies: 3
    Last Post: 12-30-2004, 06:13 PM
  5. oral thrush and a few small, nontender cervical LN
    By Asclepius1 in forum Pathology Forum
    Replies: 1
    Last Post: 12-12-2004, 09:35 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •