Abdominal Examination in Pregnancy

Examination of the pregnant abdomen is performed routinely throughout pregnancy.  Expectant mothers attend ante-natal check-ups regularly throughout their pregnancy where this is performed by both doctors and midwives. 

Pregnancy is a sensitive issue, especially for the primigravida’s. Therefore, extra care is needed when you approach a pregnant woman. Always obtain expressed informed consent before examining her and have a chaperone accompany you throughout the examination. 

A walk-through of what you will be doing is a good way of reassuring the patient and allows the examination to go on smoothly. It is also important to let your patient know that if the examination is too painful, she can stop at any time she wants. Finally, before you begin, you should always wash your hands, especially at an OSCE station.

About video: A film demonstrating the essential components of abdominal examination. Adopting a structured approach using key stages is emphasised.