Prolapse Cervix Online Hd

Prolapse Cervix Online Hd

Terri-Ann Williams , Digital Health and Fitness Reporter
Terri-Ann Williams , Digital Health and Fitness Reporter
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A MIDWIFE'S video showing how big a woman's cervix becomes when giving birth has gone viral on TikTok.
In order to give birth, your cervix needs to open about 10cm in order for your baby to be able to pass through.
This is also known as full dilation and in a first labour, the NHS estimates that it's likely you will be fully dilated for eight to 12 hours.
In a second or third pregnancy the NHS says this could be five hours or lower.
Posting to TikTok, certified nurse-midwife Sarah Pringle revealed exactly what dilation actually looks like.
The video starts with a model of what the cervix looks like pre-labour and states "labour check".
She reveals the size difference from "closed" to what the cervix looks like when it starts to open up during labour.
The video has had over ten million views on TikTok, with over 43,000 people commenting on the post.
Both Sarah's TikTok and Instagram pages are full of educational videos which cover everything from pregnancy to periods and contraception.
Her other videos include tutorials on how to measure if your cervix is dilated.
During labour, the cervix changes from being tightly closed to a fully open exit for the baby.
A cervix dilation chart can help people to understand what's happening at each stage of labor - as the cervix expands more and more as the birth process goes on, eventually allowing women to start pushing.
Stage one of labour, which involves early contractions, is complete when the cervix has dilated to 10 centimeters - allowing women to move to stage two and start pushing.
The cervix sits at the very top of a woman's vagina, several inches up, and causes a separation from the vagina and the uterus, where the baby grows.
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You spend your days running here and there, and it’s not often you get a chance to sit on the toilet and have a bowel movement. But even when you have the urge and the time to go, you’re not able to get anything moving. You get plenty of dietary fiber, you drink lots of water, and you’re active, so what gives? The truth is, this could be a sign of pelvic prolapse.
Dr. Neeraj Kohli and the rest of our team at Boston Urogyn treat women living in the Massachusetts communities of Wellesley, Weymouth, Oak Bluffs, and Hudson. If “going” is a regular problem for you, we want to help find the reason behind your chronic constipation. If it is pelvic prolapse, we can treat it safely and effectively.
Many women deal with chronic constipation and simply think of it as a normal occurrence. According to a study from 2018, women, especially older women, are much more likely to experience long-term constipation than men. One of the reasons for this is that women often feel that they don’t have much time to themselves. If life isn’t throwing one project at you, it’s another, and this could lead you to skip an ample amount of time in the bathroom. Resisting the urge to go when you should do so can actually lead to constipation down the line.
Still, if you feel you’re not able to have a bowel movement even if you have the urge and the time to go, it could be a sign of pelvic prolapse.
This condition occurs when the pelvic floor muscle, which supports the vagina, uterus, rectum, and bladder, becomes weakened over time, causing the pelvic floor to bulge out. One of the most common versions of this issue is called a rectocele, which occurs when there is a kind of hernia bulge in the colon. This can lead to constipation, as stool gets trapped in the bulge, preventing it from being evacuated in the normal fashion.
Pelvic prolapse often happens in older women, but it is not simply a part of getting older. It’s actually a serious problem that requires correction for long-term health and wellness. Often, it’s the result of vaginal childbirths, but being overweight, having a family history of this issue, or having had a hysterectomy can all increase the likelihood of its occurrence as you age.
If you’re still unsure if your constipation could be caused by pelvic prolapse, here are some of the other symptoms to look for, including:
If from the information above you think you might have pelvic prolapse, it’s important to seek help right away. There are many different treatments for this issue, most of which require minor to major forms of surgery. But after being treated, you’ll begin to feel much healthier and experience a reduction in your symptoms, including constipation.
Call one of our four Massachusetts offices today, or you can make an appointment online at your earliest convenience.
Your pelvis is the lowest part of your abdomen and is responsible for numerous bodily functions. Pain there can happen for a variety of reasons, but you don’t need to live with it. Let's look at some causes of pelvic pain and how we treat them.
The sudden urge to urinate associated with an overactive bladder can be embarrassing and disruptive to your quality of life. Many patients also experience fecal urgency and accidental bowel leakage. Read on to find out how Axonics® Therapy can help.
Fecal incontinence can dramatically affect your quality of life, so treating it is important to allow you to do the things you enjoy. The food you eat can play a role in managing or even preventing this condition. Read on to find out more.

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Proper digestion is vital to your health. Any problems you have with getting food through your body could be trouble. Rectal problems in particular can indicate serious issues, and you should know what they could mean.

Vaginal Examination (PV) – OSCE Guide
Vaginal Examination (PV) – OSCE Guide
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Download the vaginal examination PDF OSCE checklist , or use our interactive OSCE checklist . You may also be interested in our focused speculum examination OSCE guide.
You might also be interested in our OSCE Flashcard Collection which contains over 2000 flashcards that cover clinical examination , procedures , communication skills and data interpretation .
Ask the patient to cough and inspect for vaginal prolapse
Gently insert lubricated fingers into the vagina
Rotate your hand 90° so your palm faces upwards
Withdraw fingers and inspect for discharge or blood

Medimage. Adapted by Geeky Medics. Bartholin’s cyst. Licence: CC BY-SA .

Mikael Häggström. Adapted by Geeky Medics. Lichen sclerosus. Licence: CC0 .

Mikael Häggström. Adapted by Geeky Medics. Vaginal candidiasis. Licence: CC0 .

Mikael Häggström. Adapted by Geeky Medics. Uterine prolapse. Licence: CC0 .

WHO. Female Genital Mutilation. Key facts. Available from: [ LINK ].

Farage MA, Miller KW, Tzeghai GE, et al; Female genital cutting: confronting cultural challenges and health complications across the lifespan. Womens Health (Lond Engl). 2015 Jan11(1):79-94. doi: 10.2217/whe.14.63. Available from: [ LINK ].

Erskine K; Collecting data on female genital mutilation. BMJ. 2014 May 13348:g3222. doi: 10.1136/bmj.g3222. Available from: [ LINK ].

FGM mandatory reporting duty; Dept of Health and NHS England, 2015. Available from: [ LINK ].

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A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes.
A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes.
A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving.
A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations.
A comprehensive collection of medical revision notes that cover a broad range of clinical topics.
A collection of surgery revision notes covering key surgical topics.
A collection of anatomy notes covering the key anatomy concepts that medical students need to learn.
A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. We also have a collection of 500+ OSCE cases with mark schemes and answers to relevant questions.
A collection of free medical student quizzes to put your medical and surgical knowledge to the test! Check out our brand new medical MCQ quiz platform at https://geekyquiz.com .

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A bimanual vaginal examination may need to be performed in a number of different clinical scenarios including unexplained pelvic pain, irregular vaginal bleeding, abnormal vaginal discharge and as part of the assessment of a pelvic mass. Bimanual vaginal examination frequently appears in OSCEs and you’ll be required to demonstrate excellent communication and practical skills. This guide demonstrates how to perform a bimanual vaginal examination in an OSCE setting.
Wash your hands and don PPE if appropriate.
Introduce yourself to the patient including your name and role .
Confirm the patient’s name and date of birth .
Explain what the examination will involve using patient-friendly language: “Today I need to carry out a vaginal examination. This will involve me using one hand to feel your tummy and the other hand to place two fingers into your vagina. This will allow me to assess the vagina, womb and ovaries. It shouldn’t be painful, but it will feel a little uncomfortable. You can ask me to stop at any point.”
Explain the need for a chaperone: “One of the female ward staff members will be present throughout the examination, acting as a chaperone, would that be ok?”
Gain consent to proceed with the examination: “Do you understand everything I’ve said? Do you have any questions? Are you happy for me to carry out the examination?”
Ask the patient if they have any pain or if they think they may be pregnant before proceeding with the clinical examination.
Provide the patient with the opportunity to pass urine before the examination.
Explain to the patient that they’ll need to remove their underwear and lie on the clinical examination couch, covering themselves with the sheet provided. Provide the patient with privacy to undress and check it is ok to re-enter the room before doing so .
An abdominal examination should always be performed before moving onto vaginal examination . This may be less thorough than a full abdominal examination, but should at least include inspection and palpation of the abdomen.
1 . Don a pair of non-sterile gloves.
2 . Position the patient in the modified lithotomy position : “Bring your heels towards your bottom and then let your knees fall to the sides.”
1 . Inspect the vulva for abnormalities:
2 . Inspect for evidence of vaginal prolapse (a bulge visible protruding from the vagina). Asking the patient to cough as you inspect can exacerbate the lump and help confirm the presence of prolapse.
Female genital mutilation (FGM) is defined by the WHO as all procedures that involve partial or total removal of the external female genitalia , or other injury to the female genital organs for non-medical reasons . 5 Over 140 million girls and women worldwide have undergone FGM. 6 Women attending maternity, family planning, gynaecology, and urology clinics (among others) should be asked routinely about the practice of FGM . 7 Cases of FGM in girls under the age of 18 should be reported to the police . 8
Bartholin’s glands are responsible for producing secretions which maintain vaginal moisture and are typically located at 4 and 8 o’clock in relation to the vaginal introitus. These glands can become blocked and/or infected, resulting in cyst formation . Typical findings on clinical examination include a unilateral , fluctuant mass , which may or may not be tender.
Lichen sclerosus is a chronic inflammatory dermatological condition that can affect the anogenital region in women. It presents with pruritis and clinical examination typically reveals white thickened patches . Destructive scarring and adhesions develop causing distortion of the normal vaginal architecture (shrinking of the labia, narrowing of the introitus, obscuration of the clitoris).
There are several causes of abnormal vaginal discharge including:
Warn the patient you are going to examine the vagina and ask if they’re still ok for you to do so.
If the patient consents to the continuation of the examination:
1. Lubricate the gloved index and middle fingers of your dominant hand.
2. Carefully separate the labia using the thumb and index finger of your non-dominant hand.
3. Gently insert the gloved index and middle finger of your dominant hand into the vagina.
4. Enter the vagina with your palm facing laterally and then rotate 90 degrees so that your palm is facing upwards.
Palpate the walls of the vagina for any irregularities or masses .
The fornices are the superior portions of the vagina, extending into the recesses created by the vaginal portion of the cervix.
Gently palpate lateral fornices for any masses .
1. Place your non-dominant hand 4cm above the pubis symphysis .
2. Place two of your dominant hand’s fingers into the posterior fornix .
3. Push upwards with the internal fingers whilst simultaneously palpating the lower abdomen with your non-dominant hand . You should be able to feel the uterus between your hands . You should then assess the various characteristics of the uterus:
The position of the uterus can be described as:
The term adnexa refers to the area that includes the ovaries and fallopian tubes .
1. Position your internal fingers in the left lateral fornix .
2. Position your external hand onto the left iliac fossa .
3. Perform deep palpation of the left iliac fossa whilst moving your internal fingers upwards and laterally (towards the left).
4. Feel for any palpable masses , noting their size and shape (e.g. ovarian cyst, ovarian tumour, fibroid).
5. Repeat adnexal assessment on the right .
6. Withdraw your fingers and inspect the glove for blood or abnormal discharge .
7. Cover the patient with the sheet, explain that the examination is now complete and provide the patient with privacy so they can get dressed. Provide paper towels for the patient to clean themselves.
8. Dispose of the used equipment into a clinical waste bin .
Dispose of PPE appropriately and wash your hands .
Document the examination in the medical notes including the details of the chaperone.
“Today I examined Mrs Smith , a 28-year-old female . On general inspection , the patient appeared comfortable at rest. There were no objects or medical equipment around the bed of relevance. “
“Abdominal examination was unremarkable and there were no abnormalities noted on inspection of the vulva. Bimanual examination revealed an anteverted uterus of normal size and shape. There were no masses palpated in the vaginal canal or adnexa.”
“In summary , these findings are consistent with a normal vaginal examination .”
“For completeness, I would like to perform the following further assessments and investigations .”
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