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VAGINAL EXAMINATION CASE NO. Hospital _______________________________LR ________________ Reg. No. _________________ Name of the patient ___________________W/O_______________ Age _____ Religion ___________ Address ___________________________________________________________________________ Parity G P A L EXAMINATION FINDINGS:- 1. VAGINAL EXAMINATION:- • Vulva Perineum _____________________________________ • Vagina _____________________________________ • !ervi" _____________________________________ • Presenting Part _____________________________________ • Position of the #oetus _____________________________________ • $ag of %em&ranes ______________________________________ • 'uture ______________________________________ • #ontenelles ______________________________________ • 'tation of the #etal Head ______________________________________ 2. PELVIC ASSESSMENT:- • 'a(ral Promontory _______________________________________ • 'a(ros(iati( Not(h _______________________________________ • 'ide Walls ________________________________________ • )s(hial spines ________________________________________ • $ispinous *iameter ________________________________________ • 'u& Pu&i( Ar(h ________________________________________

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VAGINAL EXAMINATION CASE NO.Hospital _______________________________LR ________________ Reg. No. _________________Name of the patient ___________________W/O_______________ Age _____ Religion ___________Address ____________________________________________________________________________ Parity G P A LEXAMINATION FINDINGS:-1. VAGINAL EXAMINATION:-

Vulva & Perineum _____________________________________ Vagina _____________________________________ Cervix _____________________________________ Presenting Part _____________________________________ Position of the Foetus _____________________________________ Bag of Membranes ______________________________________ Suture ______________________________________ Fontenelles ______________________________________ Station of the Fetal Head ______________________________________

2. PELVIC ASSESSMENT:-

Sacral Promontory _______________________________________ Sacrosciatic Notch _______________________________________ Side Walls ________________________________________ Ischial spines ________________________________________ Bispinous Diameter ________________________________________ Sub Pubic Arch ________________________________________ Transverse Diameter of Outlet _________________________________________

Signature of the Teacher _________________


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