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Cervical Examination in Labor

Technique Mnemonic: 5C's
1. Clean (Sterile technique)
2. Catheterize or empty bladder before examination
3. Cervical evaluation (See Bishop Score)
  1. Cervical Dilation
  2. Cervical Effacement
4. Caput forming?
5. Cord
  1. Indicated by pulsations behind membranes
Assessment Mnemonic: 5P's
1. Presentation
  1. See Fetal Presentation
2. Position
  1. See Fetal Position
3. Place (Station)
  1. See Bishop Score
4. Pelvis
  1. See Pelvimetry
5. Puncture (Assess for Rupture of Membranes)
Reference
1. Gordon (1995) Obstetrics and Gynecology, Scrub, p. 17

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.