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Is there ever really a reason to have one? I remember having an internal exam with Anneke at my first visit, maybe a pap smear? I don't remember. And then a couple towards the end of the pregnancy and then I can't even say how many during labor.<br><br>
I'm not really sure what these exams were really supposed to accomplish. To see if things are moving along fast enough?
 

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I now think there is very little reason for a routine vaginal exam. I had lots with ds1, (especially in labor, by many different people, ugh) and during pg with ds2 and they were awful... and I can only think of one single piece of information we ever got from them that was truly useful - when I was having long sequences of regular contractions early in the third trimester with ds2, exams showed that they were not changing my cervix. It was just BH and I learned to control them with hydration and rest.<br><br>
This time around I know that and will not be having any vaginal exams at all til labor. (I am starting my third trimester and haven't had a single exam, it's been soo nice!) When labor starts, my mw has requested that I have two - one upon her arrival and one when urge to push starts.<br><br>
To me, unless I ask for one, I'd rather not have any. I may discuss with her the possibility of doing exams at my request only. Given my past experiences though, having just two seems doable and I don't have super strong feelings against that.
 

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Well, as far as regular pregnancy there are no reasons to have VEs.<br><br>
And pregnancy makes the other primary reason for a VE, i.e. to check for cervical cancer, invalid since it gives false positives.<br><br>
VEs could be valid to check for a yeast infection, but it's just as effective to notice, "ouch, that's a burning sensation inside there" and stick a clove of fresh garlic inside and eat some more yogurt.<br><br>
Remember, an exam is a test. And for any test you need to question "what will this tell me? Will that information help me make a decision?"
 

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VE were necessary for me (and I'm glad I did them) as my cervix was not closing (14 wks) and they had to close it (16-18wks can't remember) so my baby would stay in!! I know not everyone has this problem but I think it makes the dr feel better to see if the cervix is doing it's job.
 

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I'm passing on all prenatal exams and everything of the sort. We are going as natural as possible. But that's just our personal choice, I can't say that would be the best bet for you and your family. But it's definitely doable if you're all comfortable with that. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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The only reason I can think of is if you are starting to go late and want to try some natural labor inducers. Of course many ppl would just go over (and by over I mean over 42 wks) but that depends on your comfort level and possibly state laws in regards to homebirth. Of course some mw's will start to fudge dates for you and such but some are in hostile states as it is and can't afford to do things under the table.
 

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i'm skipping on VE with this pregnancies. i did have one at the begining since i was due for my yearly and seeing new midwives. i've already talked to them about not checking me during labor unless i ask or when i feel the urge to push.<br><br>
i heard other women comment about how the OB's checked them at every visit. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/dizzy.gif" style="border:0px solid;" title="Dizzy">:
 

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I was only checked vaginally twise during my last pregnancy, with my midwife. But during labor she was checking me much more often than I had liked. This time, I will be refusing all vaginal exams during my pregnancy and during labor, unless our lives are in jeopardy. When I'm ready to push, I'll know it.
 

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I had the standard slew of VEs in my first pregnancy and birth and HATED it. I had my membranes stripped unannounced AND my water broken without my permission, all under the guise of "checking progress." Blech.<br><br>
With my homebirth, I said NO VEs. I knew I'd probably want one eventually but I did NOT want any before labor or the many I'd had during labor previously. With my looooong labor, I had one or two late enough into it to simply confirm that my body WAS working (for all of us). I was happy to have it done at that point and didn't mind. I think it was helpful in the regard that we established my body really was working and making progress, but of course it couldn't predict just when it would all happen.<br><br>
I will do the same this time - no VEs until/unless indicated and agreed upon. Praying for a MUCH shorter labor, in which case I'll probably have none! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin">
 

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I had none during my pg with DD2 or during labor. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink">
 

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I had none during either pregnancy or labor, although I would have done if there was some good reason to. I did this partly because I thought there was no reason for any and partly because of a mama bear instinct that seems to kick in when I'm pregnant and make me not want to be touched. It also sets the tone with your care provider if you don't allow them, which is helpful.
 

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I had 2 VE. One, when the midwives got to our apartment to determine how far I was (was complete)<br>
and the 2nd at my 6 week PP check for Pap.<br><br>
That is it. There was no reason to do one otherwise, even the first one wasn't really necessary. I don't think they are necessary at all. What are you going to do with the information the exam gives? stress, put yourself on a time-table?
 

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I had zero exams with my 2nd and, miracle of miracles, she was still born with no trouble.
 

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to do a culture and pap smear<br>
to size an early pregnancy if you don't want an ultrasound<br>
to rule out or discover cervical changes in PTL-<br>
to do vaginal pH testing( can be a mom self-test) to prevent PTL<br>
do a test for PROM<br>
look at mucous or other signs or symptoms mom may be having<br>
if mom has had a cervical procedure for HPV - checking in early labor and again later if mom seems to be laboring hard if no cervical change then maybe she needs adhesions broken up to allow for dilation<br>
before you attempt an induction-- see Bishop's score<br>
if presentation is in question and ultrasound is not available<br>
before you leave to go to the hospital--<br>
if a mom wants one
 

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For complications they have their place: threatened pre-term labour/bleeding etc. Very slow progress in labour, unsure presentation....but not much else.<br><br>
In pregnancy (other than complications) there is NO reason to do them. I've had 7 babies and never had an internal pre-labour, ever. I've had 3 in labour, but two were with my first, one was when I wanted my waters broken to help turn a large OP baby.
 

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From what I've read, there's no reason for a routine VE in pregnancy. Many doctors though think they are necessary, or want to do it for insurance reasons. I refused one at my new doctor, but they are anxiously awaiting my pap smear result records from another doctor I saw, and for some reason, they can't seem to send them the records. It is such a pain. Anyway, in my case, I had to be very firm about not having one, and if I hadn't had one recently, they might not have agreed to be my doctor. I think it's ridiculous. I'm having a homebirth, and I'm so glad to have midwifery care that is so much better. (The doctor is basically just so we can have certain tests done that we did want.)
 

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<div>Originally Posted by <strong>imbarefoot</strong> <a href="/community/forum/post/7951940"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">When I'm ready to push, I'll know it.</div>
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Amen, sistah!
 
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