External obstetric examination is a frontline triage method where imaging and specialist access are limited. Objective: This article develops a case-based framework for using abdominal palpation, fundal-height interpretation and fetal auscultation to identify referral needs. Methods: International recommendations and diagnostic literature were reviewed and translated into practical triage categories. Results: Findings can be grouped into normal, uncertain and danger patterns. Discussion: The method is useful only when paired with referral pathways and documentation. Conclusion: External examination is not a substitute for ultrasound; it is a practical filter that can reduce delayed recognition of risk
Publication Date: 2026-06-20