Pregnant Abdomen Examination (a.k.a. Obstetric Abdominal Examination) - OSCE Guide | UKMLA | CPSA
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- Опубліковано 9 лип 2024
- This video provides a demonstration of how to perform an obstetric abdominal examination (i.e. examination of the pregnant abdomen) in an OSCE station. The guide covers:
- How to palpate the fetus to determine fetal lie and presentation
- How to measure symphyseal-fundal height
- How to assess fetal engagement
- How to use a Pinard stethoscope to listen to the fetal heartbeat
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Chapters:
- Introduction 00:00
- General inspection 00:48
- Pulse & CRT 00:55
- Inspection of hands 01:06
- Inspection of face 01:11
- Inspection of abdomen 01:22
- Palpation of uterus 01:42
- Fetal presentation & engagement 01:54
- Symphyseal-fundal height 02:04
- Fetal heartbeat 02:21
- Summary of findings 02:35
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Some people have found this video useful for ASMR purposes.
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A tip from one of my gynae consultants; if you’re doing fundal height, do it with the tape measure facing AWAY from you to remove bias.
Make sure you do it upside down (cm) to also remove bias!! :))
Bias? What bias?
@@SurivalGames4EVER I think they mean that if you can see the measurement as you're taking it, you may subconsciously try to adjust the measuring tape to a fundal height that's appropriate for gestational age. This means you can overshoot or undershoot the actual measurement. If you measure it blindly with the markings hidden from you, you can get a more accurate reading.
@@alejandromartindejesus15ohh. Thanks for explaining❤
She did that
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You did well guys.
Just feedback here.
1. Listen the fetal heart tones while you are also feeling the mother's radial pulse to be sure you are listening to the baby's heart and not the mothers.
2. Palpate the upper border of the uterus by using your Ulnar side of your left hand when measuring the fundal height.
Why we use left side?
@@sumanbanjara4755 because you'd be standing on the right side of the bed, makes sense to use your left hand instead of your right
Amazing video thank you for your great efforts
Amazing video. Thank you so much.
Use the ulnar side of your left hand to palpate the upper boarder of the uterus and mark it.
Locate your pubic symphysis and take your measurements of distance to the marked point with the centimeter side of the tape facing down in other to avoid bias result.
Uploaded at the perfect time, thank you!
But if the fetus is presenting cephalically, why did you listen to the fetal heart sounds on the top part of the abdomen instead of around the iliac fossa?
Yes, you are correct. You should aim the Pinard stethoscope between the fetal shoulders on the fetal back. In the video, we are demonstrating how to apply the Pinard stethoscope to the abdomen, rather than specifically where to listen for a cephalic presentation. Our written guide provides the details regarding where to listen. Thanks for highlighting this.
Thanks very much it's simple and clear,since tomorrow I have my END OF SEMESTER EXAM IN OBY WARD
Very well explained..Great work there!!!❤❤❤
Thank you Geeky Medics☺
I love 💗 watching labor and delivery birth vlogs on the UA-cam channel app
Thanks a lot.
Guys, do we not measure the fundal height from fundus to pubic symphysis ?
Once you get hold of the fundus and keeping the tape there and going to the fixated landmark, the pubic symphysis makes more sense, is it not ?
Why would it matter? Why not go from a fixed landmark to the fundus?
it's taught differently in different institutions, but as long as you get the landmarks correct, you shouldn't be faulted for it
I would fix at the fundus and then measure down to symphysis. Otherwise you're just repalpating and partially guessing for the fundus while trying to hold the tape, vs the symphysis which is going to be set at a relatively highly stable landmark.
Keet it up
Thank you so much for the informative videos. Keep up the good work. Would it be possible to have content on paediatric issues. I am a newbie in that field :) Thanking you
Thank you so much for the video, I really want to know more about a pregnancy test
I wish I had this a few weeks ago on obgyn- great video!
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Thank you so much!!!
Thanks u a lot geeky medics, ur Chanel is my video reference at all clinical phases ❤️❤️
Amaizing viedio
Tnx ❤️
Thanks
Please I want to know of to check the descent
How did u guys know I'm on my OBS/GYN rotation :O
Magic ⚡️✨⚡️
thanks for the video presentation, Q: during the summary what did the examiner said right after mentioning the patient's name and age (before saying ''39weeks'')?
"She's a para 0" (nulliparous)
If that is where you heard FHR, baby is not cephalic 😅 a helpful video nonetheless
Thanks for the great video!! 29th March is my birthday too 🥰
This is not for abdominal pregnancy ( pregnancy outside of uterus ) correct ? This is just assessment of the abdomen and uterus for an intrauterine pregnancy right? Just need to clarify.
You mean eptopic pregnancy? No, those fetuses will be removed before distention gets even close to as large as this. Usually they happen in the fallopian tubes and will rupture causing hemmorhage.