During a postpartum check, which position best facilitates examination of the perineum?

• A. Assist the woman into a lateral position with upper leg flexed forward to facilitate the examination of her perineum
• B. Assist the woman into a supine position with her arms above her head and her legs extended for the examination of her abdomen
• C. Instruct the woman to avoid urinating just before the examination since a full bladder will facilitate fundal palpation
• D. Wash hands and put on sterile gloves before beginning the check

Answer: (B)

Positioning to inspect the perineum after delivery should expose the perineal area clearly while keeping the patient comfortable and secure. A supine position with the patient lying flat, arms raised, and legs extended provides straightforward access to the perineal region and allows the examiner to visualize any episiotomy, lacerations, edema, or hematoma without having to shift the patient into a more cumbersome position. This setup also facilitates a quick combined assessment of the abdomen if needed, which is often part of the postpartum check.

Other positions can make the perineal area harder to observe or require the patient to be moved into a different posture, which may be less comfortable or less practical in a busy postpartum setting. While maintaining proper hand hygiene and sterile technique remains essential, the chosen position specifically best facilitates visibility and access to the perineum.