The Marking Key For Obstetric Palpation Youtube This station is double the marks of the usual station. sequence, and interaction with the patient counts. ensure you concentrate on the patient instead of th. 6. position the patient on the clinical examination couch with the head of the bed at a 30 45° angle for the initial assessment. 7. adequately expose the patient's abdomen for the examination from the pubic symphysis to the xiphisternum (offer a blanket to allow exposure only when required) 8. provide the patient with the opportunity to pass.
Ppt вђ Obstetric Abdominal Palpation Powerpoint Presentation Free To Lie. facing the patient’s head, place hands on either side of the top of the uterus and gently apply pressure. move the hands and palpate down the abdomen. one side will feel fuller and firmer – this is the back. fetal limbs may be palpable on the opposing side. fig 2 – assessing fetal lie and presentation. Obstetric cholestasis. obstetric cholestasis is a multifactorial condition that is characterised by abnormal liver function tests, jaundice and intense pruritis (typically affecting the palms and soles of the feet). the disease usually presents in the third trimester and is associated with an increased risk of intrauterine death and premature. Abdominal palpation. ask again if the patient has any pain around their abdomen. softly palpate the 9 quadrants (see the abdominal examination page) of the pregnant abdomen, feeling for the borders of the uterus. whilst palpating, look at the patient's face for any signs of discomfort and note down any tenderness or guarding. symphysis fundal. Walk hands down the sides of the abdomen using your palms and all four fingers (one side feels firm and is the back; on the other side you may be able to feel limbs) you can support each side in turn and push the fetus up against it with the other hand. you can also palpate around and on top for parts (the head should be ballotable) (important.
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