Help with SVE's

[ShannonB25]

I know I've seen this topic around here before but really needed to post it again. Anyone have any tips for SVE's? I am having a really difficult time with assessing pts before the 5 cm point. Sometimes it just feels like mush to me. I'm pretty frustrated and would appreciate any and all advice. Thanks so much in advance!!

[rnoflabor2000]

If we want to delve deeper into other things beside just simple cervical dilation, we have to also think about such things as vag. bleeding...don't check the cervix until an U/S rules out a previa. You don't want to punch a hole right thru the placenta. About fetal position, this is true...especially if the cervix feels "weird" to you. Many "weird" cervixes can be malpresentation as well as cryo, etc...Our hospital policy is the presentation is noted along with dilitation/effacement/and station.