How does a vaginal examination done to pregnant women in labor?

Question

I was just wondering if anybody could give me a step by step description of vaginal examination (internal exam) for women in labor to know the cervical dilatation and effacement. I've tried it to a patient once but its difficult for me to appreciate it since its the first time I have done it. All I could feel is the intact bag of water and its difficult to reach and palpate the cervix. Please if there's anybody out there (most preferably a doctor) who could give me the answer or send a website that gives this step by step information or a video and pictures of how it's done, I would very much appreciate it. Thank You!

Answer 1

Best Answer - Chosen by Asker

i hope thihs helps, its not a video.
http://www.askdramy.com/Chap15.html

Asker's Rating:

Asker's Comment:

Geee... Thanks for the info. Really very helpful.

Answer 2

Do you know where the cervix is? Have you felt your own? If you can't palpate the cervix, it must have been at 10cm dilated... We practice on dummies at my university. You stick your fingers in, and use your brain to think about what you're feeling. If the cervix emits a fingertip, it's 1cm, if it's more, you need go with your best estimate. Can't fit a ruler up there see. You need to practice, that's all. Have a professional do the vaginal exam as well and compare.