Muliira Rhoda S, Seshan Vidya, Ramasubramaniam Shanthi
College of Nursing, Sultan Qaboos University, Muscat, Oman.
Sultan Qaboos Univ Med J. 2013 Aug;13(3):442-9. Epub 2013 Jun 25.
A vaginal examination (VE) is an essential part of midwifery care, and is routinely performed when assessing the progress of labour. As evidence shows that during labour women may find VEs unpleasant, embarrassing and sometimes painful, the aim of this article is to review literature on the use of VEs during labour and to synthesise information from the available literature on how to provide an effective VE. The studies considered were retrieved from three databases (the Cumulative Index to Nursing and Allied Health Literature [CINAHL], SCOPUS and MEDLINE) using the following search terms: "VEs in labour", "midwives and use of VEs" and "women experiences of VEs in labour". The literature reviewed suggests that midwives are not careful about VEs. Therefore, a concerted effort is needed to pay attention to the frequency of VEs, the management of pain and distress, information-giving and the preferences of the patient, so that the patient can feel in control during a VE.
阴道检查（VE）是助产护理的重要组成部分，在评估产程时常规进行。有证据表明，在分娩过程中，女性可能会觉得阴道检查令人不适、尴尬，有时还会疼痛，本文旨在回顾关于分娩期间阴道检查使用情况的文献，并综合现有文献中关于如何进行有效阴道检查的信息。所考虑的研究是从三个数据库（护理及相关健康文献累积索引[CINAHL]、SCOPUS和MEDLINE）中检索到的，使用了以下搜索词：“分娩时的阴道检查”、“助产士与阴道检查的使用”以及“女性分娩时阴道检查的经历”。所回顾的文献表明，助产士在进行阴道检查时不够谨慎。因此，需要共同努力关注阴道检查的频率、疼痛和痛苦的管理、信息提供以及患者的偏好，以便患者在阴道检查过程中能感到掌控自如。
