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Internal exam - how much blood?

post #1 of 22
Thread Starter 
Hi everyone,

I had an internal exam 45 minutes ago and the doctor said to expect spotting/bright red blood, but how much is "normal"?

She did the internal, I wiped there was bright red blood and I wiped until it was gone and then left the office. Then I went home and when I was walking through the living room I felt fluid dropping down my leg, I thought my water was starting to break or something, but nope, pulled down my pants and my pants and legs are covered in bright red blood. Went to the bathroom and blood was dripping in the toilet (slow drip). I wiped till it was gone until I stood up again and now I am lying down. Is this normal?

Please help a clueless first time mom out.
post #2 of 22
I would call and ask. I would worry about the blood dripping down your leg. I had blood mixed with mucus (enough to fill a pantyliner) after a membrane sweep, but nothing that would actually drip down my leg. Just calling and asking can help ease your mind.
post #3 of 22
I would probably call to check it out to.

And FYI, you can refuse all further internal exams. They really don't tell you ANYTHING productive. It doesn't matter how dilated/effaced you are... all labors proceed differently, and you could be tightly closed up until labor begins, and then have a fast, quick labor (like I tend to do), or you could be hanging out at 4 cm for days.
post #4 of 22
I would call, too. I haven't had that much blood from an internal, it's been red and mixed with mucous discharge stuff, but never that much. Make sure you describe exactly how much, too. Put on a pad and if you're soaking thru more than one an hour, don't hesitate to go to labor and delivery.
post #5 of 22
That sounds a little heavy, I think I would go ahead and call.
post #6 of 22
I've never had it drip either. I wonder if she accidentally scratched you inside? I would call.
post #7 of 22
Thread Starter 
Called our doula who is a RN. She suggested that I lay down for a few hours and monitor the blood. If still heavy call the OB. DW says the blood is bloody show. I will continue to monitor things and keep you lovely ladies updated.
post #8 of 22
sounds like more than an internal exam, more like a stretch and sweep, and obviously she really irritated your cervix. they're prone to bleed this stage in pregnancy because they're so soft and vascular.

hopefully it was communicated what she was doing and consented to.
post #9 of 22
Hmmm, definitely sounds heavier than normal. Could be bloody show, but it's hard to tell since it came aftern the internal. I had one last week and it was fairly painful because she was trying to find his head (he was up too high to feel it) and I didn't even spot (couldn't stretch and sweep because I wasn't dilated at all). I've never had that much blood from a stretch and sweep, either. Keep us updated!
post #10 of 22
Thread Starter 
Quote:
Originally Posted by lotusma View Post
sounds like more than an internal exam, more like a stretch and sweep, and obviously she really irritated your cervix. they're prone to bleed this stage in pregnancy because they're so soft and vascular.

hopefully it was communicated what she was doing and consented to.
There was no mention of a sweep or any consent to one. She just said I am doing an internal and then she said I was 1.5 dilated and to not be alarmed by A little blood.
post #11 of 22
Bloody show would look like snot and blood mixed.
post #12 of 22
I would definitely check it out. I feel terrible to possibly alarm you, but I know two mamas who had bright red bleeding - in one case pooling and the other dripping like you describe - and both times it was due to a partial separation of the placenta.

I can't imagine that an internal could have caused anything of this nature, but I think you should check it out anyway.

btw in both cases I mentioned everything turned out fine.
post #13 of 22
You would know if she did a stretch and sweep, it's pretty painful and you can see and feel them swooshing around up there. I'd go ahead and call, bright red blood like that just doesn't seem normal.
post #14 of 22
I would also call. That amount of bleeding could be something abnormal.

Do you know the location of your placenta? A partial previa or even low lying placenta can get irritated by cervical exams and cause lots of bleeding and other issues. As well as you could have whats called a "vasa previa" where baby's blood flow vessals go acrossed the cervix but its not the placenta over the cervix. one of those blood vessals rupturing can be catastrophic.

I think the timing of the cervical exam is coincidental... but this seems different than blood from a cervical check. Usually they are mucous mixed and just spotting. Same thing with bloody show... its not usually straight blood dripping.

Call doc and trust your gut. If it was enough to call doula and post here.. give doc a cal just to be safe.
post #15 of 22
Thread Starter 
Update

The doctor said I have an irritable cervix and that was the reason for all the blood. Eventually I was only spotting and this morning nothing. I still find it a bit odd... The exam was really painful and I was vocal about it and was crawling up the table, maybe you ladies were right, maybe she swept me by accident? She used two fingers and when she got up there she twisted her wrist.
post #16 of 22
So glad to hear that everything is OK!

... But I have to add, it's interesting how doctors love to blame everything on the cervix. They virtually personify the cervix, calling it incompetent, irritable or just not cooperating if its not dilating fast enough for their liking during birth.

Apparently your cervix is "irritable," not "irritated" by the doctor's aggressive internal. Just saying.
post #17 of 22
I'd ask if she did a stretch and sweep, because she shouldn't be doing it without your consent. But she might have just be trying to get a good feel, like I said, I wasn't dilated so couldn't have a stretch and sweep (even though I wanted one!) but my internal was painful just because she was trying to find baby's head.

But I'm glad it seems to be nothing serious!
post #18 of 22
I think it's pretty common for docs to do membrane sweeps without asking their patients. In their minds, it's just part of the "internal exam" once you are term. That doesn't make it right, but I would not be shocked about it. I would just refuse all internal exams from this point forward.
post #19 of 22
she definitely did a stretch and sweep and it's a total violation if it wasn't communicated and consented to before hand. it's this kind of thing that makes me livid.
post #20 of 22
I hope the situation finds your Dr's explanation adequate. It really seems like she did something up there... what on earth is an irritable cervix, anyway?

The only time I've had bleeding like that was bloody show during active labor.
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