Obstetric Pelvic Examination

An obstetric examination is a medical assessment for a pregnant person, involving a general physical evaluation (like blood pressure, weight, and urine tests) and a targeted abdominal and pelvic exam to check the mother's health and the baby's development. The abdominal exam, following inspection, palpation, and auscultation of the pregnant belly, assesses the baby's position, growth, and amniotic fluid levels, while ultrasound may also be used for detailed imaging of the fetus and uterus. General Examination Vital signs: Your blood pressure, height, and weight are measured at each prenatal visit. Urine test: A urine sample is collected and tested for protein and signs of infection. General appearance: The doctor notes your overall health, as well as signs of swelling, particularly in your face, hands, and feet. Abdominal Examination This examination involves several steps, and it's important to have a full history first to guide the exam. Inspection: The doctor observes the abdomen, noting its size and shape. Palpation: Warm hands are used to feel the abdomen to assess: Uterine size: To help estimate the gestational age of the baby. Fetal lie: To determine the baby's position within the uterus. Fetal parts and engagement: The doctor can feel for the baby's body parts and how much the baby's head has descended into the pelvis. Auscultation: Listening to the fetal heart sounds to ensure they are normal. Pelvic Examination A pelvic exam is usually done at the initial visit to: Estimate gestational age: based on uterine size. Check for uterine abnormalities . Collect samples: for testing. Cervical assessment: Later in pregnancy (around 37 weeks), a digital examination may be performed to check for cervical dilation and effacement in preparation for labor.