Bimanual vaginal examination is performed for a number of different clinical indications including unexplained pelvic pain, irregular vaginal bleeding, vaginal discharge and assessment of a pelvic mass. It frequently appears in OSCEs, most often with a mannequin, however, you will still be required to demonstrate appropriate communication skills.
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With descent, the fetal head rotates so that the fetal occiput is anterior in the maternal pelvis see Table 2.
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Vaginal exam ftel head position Added: Forceps are often used to deliver babies in this position, but there is controversy whether the fetus should be delivered in the posterior position, or rotated with the forceps to the anterior position.
Vaginal examination (PV) - OSCE Guide
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