Killingley Jo
Pract Midwife. 2015 Sep;18(8):27-9.
A vaginal examination (VE) is one of many core skills used in midwifery practice. Despite the controversy of whether it is necessary in all situations, in this article I take the standpoint that it is useful in providing a full clinical picture, especially at times when closer monitoring is recommended. Additionally, if the core skill is misinterpreted, the findings of the VE can distort the true clinical picture. To support the student, subjective assessment and individual learning pathways must be addressed to avoid unnecessary intervention and psychological impairment to the woman. This article explores some of the difficulties encountered with teaching and learning VE in clinical practice and offers concepts from educational theory to assist in clarifying the difficulties and offering new ways of thinking for both students and midwives.
阴道检查（VE）是助产实践中使用的众多核心技能之一。尽管对于其在所有情况下是否必要存在争议，但在本文中，我的立场是它有助于全面了解临床情况，特别是在建议加强监测的时候。此外，如果对这一核心技能理解有误，阴道检查的结果可能会歪曲真实的临床情况。为了帮助学生，必须考虑主观评估和个性化学习路径，以避免对产妇进行不必要的干预和造成心理伤害。本文探讨了临床实践中阴道检查教学所遇到的一些困难，并借鉴教育理论中的概念来帮助厘清这些困难，为学生和助产士提供新的思考方式。
