The document outlines the process and importance of vaginal examinations in midwifery care, particularly during labor. It details the types of examinations (digital and speculum), the nurse's role in preparation and procedure, and indications for performing the examination. Additionally, it highlights the significance of these examinations in diagnosing reproductive health issues and the necessary precautions for patient safety and comfort.

1. Presented by-
Ms.Aasiya khan
B.Sc nursing 4th year
Era’s college of nursing
Guided by-
Dr. Anjalatchi
Vice principal
Era’s college of nursing

2. CONTENT
 Introduction
 Definition
 Purpose
 Indication
 Types of vaginal examination
 Role of nurse
 Procedure
 Summary
 Conclusion
 Bibliograpgy

3. INTRODUCTION
 A vaginal examination is an essential part of midwifery
care, and is routinely performed when assessing the
progress of labour.

4. DEFINITION
A vaginal examination in labour is a systematic
examination to assess the status of vagina, vulva,
cervix, membranes, presenting part of pelvis.

5. PURPOSE
 To assess the progress and delay of labour.
 To assess the condition of the vulva, vagina, and cervix.
 If you are experiencing gynecological symptoms such
sa pelvic pain, unusual vaginal discharge or urinary
problems.

6. INDICATION
 To check the health of the reproductive organs and
diagnose any problem.
 To cheak for vaginal infection or STD (Sexually
transmitted disease.
 Determine pregnancy or miscarriage.
 Screen for cervical cancer, which can be treated and
cured if found early.

7. TYPES OF VAGINAL EXAMINATION
 Digital  Speculum

8. DIGITAL VAGINAL EXAMINATION
 In the digital vaginal examination we will insert two
lubricated, gloved finger into vagina with one hand
while the outside of your lower abdominal.
 During this part of the exam, we will check the size
and shape of your uterus and ovaries, noting any
tender areas or unusual growths.

9. SPECULUM VAGINAL EXAMINATION
 In the speculum vaginal examination, a device called a
speculum will be inserted into the vagina.
 The speculum is opend to widen the vagina so that the
vagina and cervix can seen.Perform a Pap smear(we
will use a plastic spatula and small brush to take a
sample of cells from the cervix).

11. ROLE OF NURSE
 Preparation of patient.
 Preparation of
environment.
 Preparation of articales.
 After care.
 Record and report

12. PREPARATION OF PATIENT
 Ensure that you have the current patient for
procedure.
 Introduce yourself be polite and explain procedure.
 Ask patient for consent.
 If patient allows then start.

13. PREPARATION OF ENVIRONMENT
 Close all doors and window of the patient
side.
 Place screen to maintain privacy.

14. PREPARATION OF ARTICLES
ARTICLES
 A screen.
 A mackintosh.
 A kidney tray.
 Paper bag.
RATIONALE
 To provide privacy and
comfort to the patient.
 To prevent soiling of the
bed.
 To collect wet waste.
 To collect dry waste

15. ARTTICLES
ARTICLE
 A pair of gloves.
 Cap
 A plastic apron.
 Mask
 Shoe cover.
 Vaginal speculum
RATIONALE
 To maintain aseptic
techniue.
 For protection of head.
 For protection of body.
 Respiratory proction.
 Protection of foot.
 To widen of vagina

16. ARTICLES
 Lignocaine jelly.
 Drowsheet sterile.
 Betadine solution.
 Gynaepad
 Sterile spange holding
forcep
 Cotton swab.
 For lubrication of skin.
 To cover perineal area.
 To clean perineal area.
 To provent from vaginal
discharge.
 To hold swab for cleanig
the periniaum.
 To clean the perineal.

17. ARTICLES

19. PROCEDURE

34. CHECK LIST

35. SUMMARY
 In the vaginal examination we will insert two
lubricated, goves fingers into the vagina with one
hand, while the other hand presses gently on the
outside of your lower abdomen. During this part of
exam, we will check the size and shape of your uterus
and ovaries, noting any tender area or unusual
growths.

36. CONCLUSION
 Vginal examination may need to be performed in a
number of different clinical scenarios including
unexplained pelvic pain, irregular vaginal bleeding,
abnormal vaginal discharge and as part of the
assessment of a pelvic mass.

37. BIBLIOGRAPHY
 Essential of D.C Dutta A text book of of obstetrics
edition 9th published by jaypee brothers.
 Sandeep kaure a text book of midwifery and obstetrical
nursing edition 1st published by Dr Sunita Lawrence.
 Kamini Rao the text book of midwifery and obstetrical
nursing published by Esevier.
 https www mobile slide share.com.
 httpswww.slideshere.net.