Obstetric Examination

The obstetric examination is an essential clinical procedure designed to provide a comprehensive pregnancy assessment. It is typically scheduled after a missed menstrual period and a positive urine pregnancy test. The specifics of the obstetric examination can vary depending on the gestational stage at which it is conducted. At Plodnost Hospital, we ensure that every expectant mother receives thorough and personalised care throughout her pregnancy journey.

In general, the obstetric examination at Plodnost Hospital can be divided into several key components:

Patient History:

The initial step involves a detailed conversation with the expectant mother to evaluate her past obstetric and gynaecological history. This includes:

• The number and mode of previous deliveries
• Any history of previous pelvic surgery
• Assessment of any present risk factors such as accompanying diseases and harmful habits

Understanding the patient’s medical background allows our healthcare professionals to tailor the examination and care plan to each individual’s needs.

Measurement of Anthropometric Parameters:

Accurate measurement of various anthropometric parameters is crucial for monitoring the health of both the mother and the fetus. These measurements include:

• Pulse rate
• Blood pressure
• Height and weight (used to calculate the body mass index)
• Fundal height (the distance from the pubic bone to the top of the uterus)
• Abdominal circumference

These measurements help in assessing the general health status of the pregnant woman and the progress of the pregnancy.

Specialised Obstetric Examination:

The specialised obstetric examination is conducted on a gynaecological chair or couch. It usually includes the following procedures:

1. Examination of the Vaginal Walls and Exocervix with a Speculum:
   • A speculum is used to inspect the vaginal walls and the exocervix, ensuring there are no abnormalities.
2. Microscopic and Microbiological Examination of the Vaginal Discharge:
   • This examination helps in identifying any infections or microbial imbalances that need to be addressed.
3. Colposcopy (Optional):
   • A colposcopy may be performed to provide a more detailed view of the cervix and vaginal walls.
4. Pap Smear (Optional):
   • Usually performed in early gestation, a Pap smear helps in screening for cervical cancer and other potential issues.
5. Ultrasound Examination (Optional):
   • Ultrasound is used to visually monitor the development of the fetus and assess the health of the pregnancy.
6. Objective Assessment of the Cervix:
   • This can be done via digital examination and/or transvaginal ultrasound, providing detailed information about the cervix.
7. Measurement of Uterine Height and Abdominal Circumference:
   • Particularly important in advanced gestation, these measurements help track the growth and position of the fetus.
8. Evaluation of Fetal Heartbeats:
   • Using an obstetric stethoscope or a Dop-tone, the fetal heartbeats are monitored to ensure the baby’s well-being.
9. Cardiotocography in Advanced Gestation:
   • This procedure monitors the fetal heart rate and contractions of the uterus, providing crucial information about the baby’s condition.

At Plodnost Hospital, we are committed to providing a full range of tests for the objective assessment of pregnancy. All examinations are carried out by qualified health professionals in a comfortable environment equipped with high-quality medical equipment. Our aim is to ensure the safety and health of both mother and baby throughout the pregnancy.

Benefits of Choosing Plodnost Hospital for Obstetric Care

Choosing Plodnost Hospital for your obstetric care comes with numerous benefits:

• Experienced and Qualified Staff: Our team of obstetricians, midwives, and nurses are highly trained and experienced in managing all aspects of pregnancy and childbirth.
• State-of-the-Art Facilities: We use the latest medical equipment and technologies to provide the best possible care.
• Personalised Care Plans: Every pregnancy is unique, and we tailor our care plans to meet the individual needs of each patient.
• Comfortable and Supportive Environment: We strive to create a warm and welcoming environment for our patients, ensuring they feel supported and cared for throughout their pregnancy.

For more information about the possibility of an objective evaluation of your pregnancy at Plodnost Hospital, please contact your doctor or call our registration desk. We are here to support you every step of the way, ensuring a healthy and happy pregnancy journey.