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Pelvic examination: a survey of British practice
Author(s) -
AMIAS A. G.
Publication year - 1987
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1987.tb02272.x
Subject(s) - palpation , dorsum , position (finance) , physical examination , medicine , habit , clinical practice , pelvic examination , general surgery , surgery , psychology , physical therapy , anatomy , social psychology , finance , economics
Summary. Of 850 consultant gynaecologists in Great Britain who were asked about their preferred method of pelvic examination, 777 (91%) replied including 87 women. Of these, 574 (74%) regularly choose the dorsal position both for bimanual and speculum examination although 227 of this group use the lateral position in some circumstances. The other 203 (26%) preferred the left lateral for routine speculum examination and 100 of them also regularly used that position for bimanual palpation. There were marked regional variations in clinical practice, the lateral position being broadly more favoured in the South than in the North. The age of the gynaecologist was an important factor but practical clinical considerations appeared to be less important than habit and upbringing in determining choice of method.