I am not currently in clinical practice as I am an educator and research midwife at present. However in my experience and what i tell students is that nothing should be used in isolation. Observe, listen, use all your senses, and yes, seeing a purple line develop may well be part of that but it is understanding the whole picture of labour that will make reliance on staged VEs unnecessary. A VE is a tool and may well be useful if you need to act on information that can only be confirmed by VE but as an holistic art, midwifery uses all senses and all observations. An abdominal examination can tell you a lot about descent and rotation as well.
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From: A forum for discussion on midwifery and reproductive health research.
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