The knee-chest position (Figure) provides a particularly good view of the vagina and cervix without instrumentation. If someone else is administering the enema, lie on your left side with knees bent or in the knee-to-chest position (see drawings A and B). The evaluation of a prepubertal child with vulvovaginitis in the Gynecology Clinic of Children's Hospital is done in the following order: (1) history (2) inspection of the perineum with the child supine (3) visualization of the vagina and cervix in kneechest position (4) cultures and (5) a rectal examination in girls with vaginal bleeding or abdominal pain. Because children are frequently sent to gynecologists, traumatized by a rectal examination as the first part of the evaluation, or sent for an x-ray of the vagina with the hope of excluding a radiopaque foreign body, we believed it would be useful to present our approach to the gynecologic evaluation of the prepubertal child in which the kneechest position is used for visualizing the vagina. Not only is hygiene often suboptimal in this age group, but pinworm infestations, bubblebaths, harsh soaps, and tight-fitting nylon tights can all contribute to the vulvar irritation. The proximity of the vagina to the anus and the thin uncornified vaginal epithelium make the young child especially susceptible to vulvovaginal infection.
Misalnya untuk membantu bayi berputar dan masuk kembali dalam posisi yang lebih menguntungkan. Kebanyakan dilakukan bila terjadi prolaps atau presentasi tali pusat atau jika bagian presentasi perlu didorong ke luar panggul. Vulvovaginitis is a common complaint in the prepubertal child. Knee-Chest Position adalah posisi yang diambil ibu berbaring dengan bertumpu pada lengan bawah dan lutut, dengan panggul elevasi. Aim: The aim of the study is to determine whether the knee chest position with interferential therapy and interferential therapy alone helps in reducing the. knee-chest position the patient rests on the knees and chest with head is turned to one side, arms extended on the bed, and elbows flexed and resting so that they partially bear the patient's weight the abdomen remains unsupported, though a small pillow may be placed under the chest.