Pervaginal (PV) Examination, Obstetrics and Gynaecology

Pervaginal (PV) Examination 

PV examination sina manual examination which is performed by a nursing officer for any pregnant woman during ANC & during labour. 

PV examination is a very important to identify status of pregnancy & also to identify status of labour in any mother. 

During ANC PV examination is performed at last trimester of pregnancy while as at the time of labour PV examination is performed at every 4 hours. 


Process  Of PV Examination & its outcomes are as follows 

 • First of all procedures is explained to mother. 

 • Now dorsal recumbent position is provided to mother so that her valued area is exposed. 

 • Now examiner performs hand washing, glowing & then apply povidine iodine over two fingers. 

 • Now examiner does insert two fingers in vaginal canal in vertical direction.

 • Now examiner rotates his/her fingers from vertical to horizontal direction. 

 • Now examiner does feel cervical ring & then spread fingers to assess cervical dilatation. 

If both fingers are spread maximum, & cervical ring can not be touched by both fingers together then it is full dilation of cervix, which is 10 cm.

• Now examiner does assess 'pelvic adequacy' for this assessment both ischial spine are felt by fingers, when maximum spread. If both ischial spine can not be felt together, then it is consider adequate pelvis.

 • Now fingers rotated in vertical direction & fingers are withdrawn from vaginal canal to assess spinal curve. If fingers of examiner does not touched to spinal curve then it means pelvic is adequate for normal delivery.

 • Now colour of amniotic fluid is also assessed at the fingers.