So...an OB CAN be found who doesn't do an exam if you don't want one!!!
- topicPregnancytagged by System, 3/16/12
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Are internal exams necessary during pregnancy (especially early on)? - Page 2post #22 of 273/25/12 at 3:05pm
I usually do a Pap with cultures at 12 weeks so that if a woman spots or miscarries in the first trimester there is no finger pointing. Pap is according to guidleines. If she is up-to-date--I don't do a pelvic.
I offer pelvic at 39 weeks in an uncomplicated pregnancy---and most women are more curious than I am---I can wait until they present in labor--they are generally itching to see if anything is happening.
The notion that we make women strip so we can feel all powerful is --to me--abhorrent---I have NEVER in 30 years EVER heard an OB talk this way---I was shocked to see such a statement.
When a woman comes in thinking she has a vaginal infection ---how do you suggest I examine her---the old tongue depressor down the throat isn't going to help. Oh are gastroenterologists who do colonoscopies being perverse or is ti just the vagina?post #23 of 273/25/12 at 3:50pm
I made one of the statements you were shocked to see. I am not in the US. Can you tell me why transvaginal u/s would be standard for every woman doing a NT u/s at 12 weeks? I can understand if they did not get a good image and needed to try after abdominal, but for everyone? The country I am in has a 44% c/s rate, one of the highest in the world. (There is a context for my opinion, maybe it is totally wrong, but it is based off of what I have seen here, personally and through relatives/friends).
Why would internal exams be needed at every appt?
Of course if a patient is complaining about vaginal infection, well you would have to check that out. I think the better analogy is do vaginal exam for a sore throat.
Edited by slmommy - 3/25/12 at 4:07pmpost #24 of 273/25/12 at 4:27pm
the difference in imaging at 10 -12 weeks for NT check is quite dramatic----and if you are a little "fluffy" it makes a huge difference. "Claritin clear" as I say.
Of course doing a NT check is not routine---many here say they would never do anything about the result so they don't want the test done.
There is no need for routine exam at each visit--I personally think that digging around at the cervix is unnatural and can cause premature labor---it is posterior to prevent the penis from banging it around so why should a finger do it?---leave it alone!!!
My prematurity rate is half of my peers in the same locale.post #25 of 273/25/12 at 4:58pm
I was 12 weeks 3 days, but none of the 3 ob/gyns or 1 mw I saw cared anything about my charting, I ended up just lying about my LMP after a while. At the time I was 5'6" and about 140 lbs. It's not just me, it's how all n/t us are done here, (and routine here for private care along with other exams which aren't "standard" in US), but I'm not even US, so sorry, this is a bit off topic anyway, there is a totally different "birthing culture" here, (80%+ c/s rate for private hospital).
Obdoc, I hope you stick around, I saw you were frustrated in other threads today too, it is good to have other perspectives around here too, I think there have been in the past but I haven't seen many obs recently.
Edited by slmommy - 3/25/12 at 7:14pmpost #26 of 273/25/12 at 11:51pm
I don't know if I should even respond since this is not the popular opinion here but I do have to share my story in case it helps just one person and their baby. In my case early internal exams were extremely beneficial. Without I would have had a 2nd trimester MC and thankfully steps were taken to prevent that from happening. I cannot imagine the heartbreak if I or my OB had just assumed all would be fine and then lost my baby. I am so thankful to my OB and MFM and will be for the rest of my and the baby's life. And while my case is not typical and my doctor already knew I was high risk, it is worth mentioning. There is some good that comes from early internal exams for some women, I know because I am one of them.post #27 of 273/26/12 at 12:58am
Just wanted to add that I did have an OB and had no internal exams. And it wasn't from me refusing them (although I would have), he was just very natural-minded and progressive and since there is no need to do an internal exam for a healthy, normal pregnancy he doesn't do them. He doesn't even check at the end of the pregnancy to see if you're dilated, or if your cervix has thinned, he just lets nature take its course. The baby will come when it comes, knowing whether you're dilated isn't going to speed it up. So, to answer the OP's question- nope, not necessary in a normal, healthy pregnancy.
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