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    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? Here are some tips for practice that I give to students:-Vaginal exams can be triggering for people with trauma. Avoid saying “open your legs”, “hold still”, “good girl”, etc. ” or be very tense even at the touch of their thigh or labia. Do not try to start the exam if they are clenching their bottom, even if they say it is ok. Doxycycline is used to treat infections caused by bacteria, including pneumonia and other respiratory tract infections; certain infections of the skin or eye; infections of the lymphatic, intestinal, genital, and urinary systems; and certain other infections that are spread by ticks, lice, mites, infected animals, or contaminated food and water. It is also used along with other medications to treat acne. Doxycycline is also used to treat or prevent anthrax (a serious infection that may be spread on purpose as part of a bioterror attack), in people who may have been exposed to anthrax in the air, and to treat plague and tuleramia (serious infections that may be spread on purpose as part of a bioterror attack). Doxycycline can also be used in people who cannot be treated with penicillin to treat certain types of food poisoning. Doxycycline (Oracea) is used only to treat pimples and bumps caused by rosacea (a skin disease that causes redness, flushing, and pimples on the face). Doxycycline is in a class of medications called tetracycline antibiotics. It works to treat infections by preventing the growth and spread of bacteria. It works to treat acne by killing the bacteria that infects pores and decreasing a certain natural oily substance that causes acne.

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