For a pelvic exam, the patient lies in the dorsal lithotomy position, which means they are supine (lying on their back) with their feet placed in stirrups. This position allows the healthcare provider to have clear access to the pelvic area for examination.
The Dorsal Lithotomy Position Explained
- Supine: The patient is positioned on their back on the examination table.
- Stirrups: The feet are placed in stirrups attached to the exam table, typically with knees bent and hips flexed. This provides support and widens the pelvic area for examination.
Pelvic Examination Procedure
According to the reference, the pelvic examination typically involves:
- External Examination: An examination of the mons pubis and vulva.
- Speculum Examination: The use of a speculum to view the vagina and cervix.
- The dorsal lithotomy position is specifically utilized to perform the speculum examination.
Why is this position used?
The dorsal lithotomy position is essential for a proper pelvic exam because it:
- Provides the healthcare provider with the optimal angle and access to the female reproductive organs.
- Allows for a comprehensive visual and manual examination.
- Facilitates the use of instruments like the speculum.
Patient Comfort and Draping
- During a pelvic exam, the patient is typically draped to ensure privacy and comfort.
