assessing effacement and station

  1. I am pretty new at sve and feel clueless when it comes to effacement and especially station. I cannot feel the ishial spines!! Please help!
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    About theamberdawns

    Joined: Nov '08; Posts: 21; Likes: 4


  3. by   NurseNora
    Look at diagrams of the pelvis, The spines are not located at 3 and 9 o'clock as you might think, but are more at 4 & 8.

    On the posterior aspect of the vagina, you can feel the ligament that runs from the sacrum to the spines and follow it to the spines. Again, look at a good diagram of pelvic anatomy.

    Practice, practice, practice. Follow the exams of your coworkers. Get to know what they consider a 0 station, or -2. If the patient has an epidural and hasn't had ruptured membranes for too long, you can do some extra exams without harm.