I’m going to take a break from the labor induction series and focus today on a question that was asked by a student midwife. While this blog is mostly focused on research recommendations and ways that they affect patient care, I also hope that students and providers can use it as a reference point as well. The midwifery student was asking for suggestions and tips for mastering the vaginal exam. While cervical checks are frequently overused in obstetrics, and there is no need for routine exams, there are times that they can offer important clinical information. For example, a routine check at 37 weeks “just to see if anything is happening”? Unable to assess baby’s position by leopold’s (feeling the baby through the patient’s abdomen)? As a student, it can take quite a bit of practice before feeling the “mush” gives useful information. Sudden decelerations in the baby’s heart rate right after the water breaks in labor? 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