A vaginal speculum is also used in fertility treatments, particularly artificial insemination, and allows the vaginal cavity to be opened and observed thereby facilitating the deposit of semen into the vagina. Many previous babies, Low socio-economic status, and Poor nutrition have an association. Tomich With the blades open, secure the speculum by tightening the thumb screw.
Hgb is useful, not to determine whether to transfuse or not (that is a clinical, not laboratory decision but to indicate the margin of safety available to the clinician in caring for this patient. Using the palmar surface of your fingers, palpate for the uterine fundus while gently pushing the cervix anteriorly with the pelvic hand.