The metal attachments at the end of the examination table designed to support women's feet during a gyn exam are called stirrups. For some little women, these can be used, if pushed in close to the table. For others, more flexion at the hips and knees is required than is physically possible. Here are some alternatives. Slightly raising the head of the table may provide a better angle to allow use of the stirrups.
Most examining tables have a covered tray at the end that can pull out.
By resting the feet there and dropping the knees to the sides, an exam can often be accomplished without stirrups. A nurse or assistant can support each leg for the few minutes required to complete an exam. Many little women require the use of a pediatric speculum. Some little women have no trouble with an average size speculum, but having the smaller one available, just in case, is important. If the positioning is adequate and the speculum is right, the exam can go as smoothly as they ever do.