In the first stage 2. Management (4)
d. Vaginal examination: (dilation and station)
the vaginal examination should be performed using an aseptic technique, in the presence of significant bleeding , the vaginal examination should be done with extreme care. Before any digital examination a sterile speculum examination should be performed.
The digital portion of the vaginal examination allows the examiner to determine the degree of cervical effacement. The cervix is also palpated for cervical dilation described as centimeters of dilation. The examiner uses one or two fingers to identify the diameter of the opening of the cervix.