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The vaginal examination during labour: Is it of benefit or harm?

Abstract:

Giving birth is an important life event and care practices that occur during labour and birth can have a lasting influence on the mother and the family (Beech & Phipps, 2004). The use of regular, routine vaginal examination to assess the progress of labour is one such care practice. There are two ways of viewing the vaginal examination during labour. The first regards the vaginal examination as a physically invasive intervention which can have adverse psychological consequences (Kitzinger, 2005). The second sees vaginal examination as an essential clinical assessment tool that provides the most exact measure of labour progress (Enkin et al., 2000). This paper explores these two viewpoints in more detail and discusses the benefits versus the harms of undertaking a vaginal examination during labour. Midwives use a variety of skills and observations to assess labour progress. The vaginal examination is an important clinical assessment tool that should be used carefully when there is a need for more information to help understand labour and whether it is established and progressing, taking into account both the potential harms and benefits.

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assessment tool, intervention, labour progress, midwives, partogram, physiological labour, Vaginal examination