I wondered what people's opinions were regarding VE's prior to epidural placement. I don't have a standard practice. If I feel like things are moving quickly and a mom is requesting an epidural then I'll check her. However, if she's a primip, ruptured, not at high risk for precipitous delivery, and was in early labor upon her most recent exam a few hours prior, I may not check her. What are people's thoughts? Any unit policies you have in place?