hey all---am starting to get in the flow of doing my own SVE's, but I had a veteran nurse tell me this terrible story of one of our rampant doc's flying off the handle at her as he walked in as she was checking his VBAC, screaming "YOU WILL RUPTURE HER UTERUS!!!"
Of course this was a terrible thing for the patient to hear,
but my question is....
~do you do all your own checks?
~ do you do them at all?
~ was this doctor a total raving lunatic? i mean i know that answer, but it would seem like that would take one h*lluva exam to rupture a uterus, but then again I never met the patient or read her history, only was relayed the incident.
any keypoints to help when trying to become a better SVExaminer?
i have realized that you feel quite inept unless you know your patients uterus...first hand * hyuck hyuck*......
sorry.....couldnt help it.
Oct 7, '02
wow!!!! boy did i misunderstand this thread at first. glad you cleared it up. there ARE patients and s/o who do their own SVE's with incredible accuracy. i won't say more.
all i can say is, imagine real hard being the other end of the check or having a pap smear. you know how that feels and what works for you.......so keeping that in mind, i go in slowly, gently, with hands or speculum as WARM as possible.......like I have all the time in the world---- with supreme gentleness. I have them breathe in deeply thru the nose and out the mouth, like in labor and let THEM relax their legs before I touch them at all. I keep eye contact with them and tell them each thing I am doing and how it is likely to feel. Also, I find if you move slowly, and probe gently, following the natural curve of the patient's back, they really relax and cooperate much better. good luck.
Last edit by SmilingBluEyes on Oct 7, '02