It is slide to help students of MBBS who has started their obstetrics ?Gyneocology Block

1. Obstetrics
Examination
• Dr Bhaskar Jyoti Paul
• Associate Professor
• Obstetrics and Gynecology
• University of Shaqra

2. Examination components
.
General
examination
Systemic
examination
Inspection
Obstetrics
examination
Auscultaion
Palpation

3. General
examination
• pallor,
• cyanosis,
• jaundice,
• Odema
• Clubbing

4. General
examination
• oral hygiene.
• Teeth and gums
• Tongue
• Thyroid and any neck
swellings

5. General
examination
• Breast examination:
• Neck vein
• Neck glands
• varicose veins in legs

6. General
examination
• Vital signs:
• Pulse
• BP – in semi-recumbent position at 45
degrees
• RR,
• Temperature:
• Weight in Kg:
• Height in Cm:
• BMI = Wt[kg]/Ht[mt square]

7. Systemic
Examination
• CNS
• CVS
• Respiratory System
• GIT
• Genitalia
• Urinary system
• Locomotory system

8. Abdominal inspection
• INSPECTION:
• Size of abdominal distension Symmetrical or
Asymmetrical
• Shape
• Umbilicus – Inverted, flat or Everted Fetal
movements
• Scars
• Engorged veins
• Fetal movements
• Hernia sites: Umbilical, Para-umbilical, Inguinal

9. Abdominal
inspection
• LINEA NIGRA: a dark
pigmented line from
• xiphi-sternum to
symphysis pubis
• STRIAE GRAVIDARUM:
recent stretch marks
• are purplish in color
• STRIAE ALBICANS:
old stretch marks look
• silvery white

10. Palpation of
the abdomen
• PALPATION:
• Symphysio-fundal height: measured in
centimeters
• Measured from 20 weeks onwards
• Estimation of no. of fetuses
• If it is a single fetus –perform Leopold
maneuvers:
1. Fundal height and Grip
2. Lateral or Umbilical grip
3. Superficial or Pawlic’s grip
4. Deep pelvic grip

11. Symphysio fundal height

12. Standard
Format for
All Power
Points

13. Leopold manuevre
• Leopold manuevre
• Fundal grip
• Lateral grip
• Ist Pelvic grip
• Second pelvic grip

14. Fetal lie ,
position

15. Presentation

16. Auscultation

17. Auscultation

18. Vaginal
examination

19. Summary
Mrs.-------------- is a 21 year old Saudi house wife married for 2 years Primi or
G4, P3, A0 and living 3 at 33 weeks admitted with high blood pressure
for admission and further management

20. Reference
and source
Beckman and ling obstetrics and gynecology
First aid obstetrics and gynecology
Kaplan 2017