Cervical Examination

EXAMINATION RESULT
Dilation Dilation progresses continually during normal
labor.

Note: If 4 cm or more, start the partograph. Initial

cervical dilation in active phase of labor is plotted
on the alert line; cervical dilation should remain
on or to the left of the alert line of the
partograph as labor progresses.

Membranes and amniotic fluid Membranes rupture spontaneously during labor

or birth.

Amniotic fluid is clear and has a distinct, but not

foul-smelling, mild odor.

Normal variations:

 The presence of a smooth membrane

palpated over the presenting part
indicates the presence of the intact bag
of waters. The membrane may be closely
applied to the presenting part, or filled
with amniotic fluid forming forewaters.

 If the bag of waters is ruptured, the

presenting part will be felt directly.
Pooling of fluid in the vagina or fluid
flowing out of the vagina also confirms
ruptured membranes.

Presentation In active labor, presentation is cephalic (i.e., the

top of the head is palpated).

Molding Bones of the fetal skull are separated or just

touch each other.
Note: This is most easily done after the rupture
of membranes.