The routine six week postnatal vaginal examination.

Introducing educational theory: vaginal examination.

A vaginal examination (VE) is one of many core skills used in midwifery practice. Despite the controversy of whether it is necessary in all situations, in this article I take the standpoint that it is useful in providing a full clinical picture, especially at times when closer monitoring is recommended. Additionally, if the core skill is misinterpreted, the findings of the VE can distort the tr...

Routine examination in the neonatal period.

OBJECTIVE To assess the value of the second neonatal examination as a medical surveillance procedure. DESIGN Prospective survey of routine neonatal examinations and the abnormalities identified during 8 March-30 June 1988. SETTING Maternity unit with an annual birth rate of 5700. SUBJECTS For first neonatal examination: 1795 babies born in the unit during the 115 day observation period. F...

Six Cases of Vaginal Cæsarean Section

case where, had I been conversant with the procedure, I would have been glad to take advantage of it. One case particularly I recalled of a patient in the country, four months pregnant, brought to the point of death by severe and uncontrollable vomiting, whose cervix was so rigid that Bossi's dilator was unable to effect dilatation of the internal os to any extent, and the foetus and placenta h...

Cytolytic vaginosis: examination of 2947 vaginal smears.

The aim of this study is to detect the rate of cytolytic vaginosis (CV) cases in patients with symptoms resembling those ones of candida vaginitis and to distinguish them from candidiasis cases by examining of 2947 Papanicolaou-stained vaginal smears. Fifty four of 2947 patients (1.83%) were diagnosed as having CV based on cytologic criteria such as naked nuclei of intermediate cells (IC), the ...

Combinatorics: The Fine Art of Counting | Week Six