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Old Jun 9th, 2011, 14:55 PM   1
Celesse
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Anyone declined internals?


I'm thinking of declining internal examinations during labour unless there is a problem. Its not that I have a problem with internal's I just think that if the midwives don't know for sure how many cm dilated I am then I'm less likely to be a victim of "failure to wait".

Last labour was fairly slow and this time will be a HBAC and I don't want to give them any excuse to send me in. Plus I know they don't like to speed up labour in VBAC birth and I'm worried if things were slow then they would try and suggest a C-Section.

Anyone have any experience in declining internals? How did the midwife respond? Was there any pressure to "just have a look and see how we are doing"?



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Old Jun 9th, 2011, 15:26 PM   2
Mervs Mum
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Me and just about every woman I work with!

My own MW was totally fine with it and said she could she what was going on without one. She used the same external signs I use as a doula. Observing behaviour, cold legs, purple line, back 'breaking' etc.

I have however had a MW who was clearly VERY uncomfortable not being able to do a VE. She ended up calling the supervisor of mws and it was a challenge protecting the space at times but we managed. I've had every variation of everything in between the two.

I think it's pot luck as to who turns up on the day but to have discussed it in advance as well as it being in the birth plan/prefernces is (according to the mws) helpful.



 
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Old Jun 9th, 2011, 16:13 PM   3
Kess
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My MW is fine with not doing internals, in fact she prefers not to! She says she can generally tell how things are going without anyway, and knowing how far a woman is dilated isn't a reliable guide to how long things have to go anyway. She did say she might suggest one if I want to get into the pool early, as if I get in too early it might slow things down, but it's totally up to me. I hate internals, so will be declining any that aren't completely necessary.



 
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Old Jun 9th, 2011, 16:39 PM   4
Mervs Mum
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You might enjoy this post.....

http://sarahvine.wordpress.com/2010/...internal-exam/



 
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Old Jun 9th, 2011, 20:56 PM   5
Bournefree
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I really hope that you don't get the situtation where you are having to defend the reasons why you don't want to have an invasive internal examination in labour, as you have the utter right to refuse this.

Any MW worth their salt should be able to know when you are in either 1st or 2nd stage labour without needed to do this routinely.

Your wishes should be respected - It would be totally illegal, let alone immoral for a MW or Dr to insist on internal examinations or to perform one without your expressed consent. Make it clear from the outset your refusal and make sure your support can keep answering for you, so you don't have to defend it in labour, and you are protected.

I had one internal at my own request in early labour at about 3-4 cm.. I felt I needed to know if I was in labour or not (silly hey, it was obvious to everyone else). It acted as a boost for me, and I didn't feel I needed wanted anymore than that (and infact the MW didn't want or offer to do anymore)

I think it is a great idea, and I also think what you want is the most important thing and they have to listen to you.
XXX

Kess - if you want to get in the pool "early" (I know some policies would say they like you at 5 odd cm before hand), it is upto you. Labour might slow, but what is wrong with that? You can decide to get out again, or stay in a relax. It shuldn't be a problem - but if you are in hospital they have this "policy" so it makes more efficiant use of the pools (i.e so they can turn it around faster). It's your birth, and if you have a pool to use and want to use it - use it, no matter what stage you are at!
XxX
XxxX



 
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Old Jun 10th, 2011, 01:57 AM   6
DaisyDoodles
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My midwives have said they will only do internals if I ask them to and even then, they'd prefer not to... they said there's absolutely no need for anything intrusive thankfully!



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Old Jun 10th, 2011, 02:51 AM   7
Kess
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Quote:
Originally Posted by Bournefree View Post
Kess - if you want to get in the pool "early" (I know some policies would say they like you at 5 odd cm before hand), it is upto you. Labour might slow, but what is wrong with that? You can decide to get out again, or stay in a relax. It shuldn't be a problem - but if you are in hospital they have this "policy" so it makes more efficiant use of the pools (i.e so they can turn it around faster). It's your birth, and if you have a pool to use and want to use it - use it, no matter what stage you are at!
XxX
XxxX
I'll be at home, with an IMW, so no policies at play. It'll be totally my choice if I decide to get in and accept the chance that labour might slow or prefer to stay out for a bit longer, all my MW is saying is that IF I want that information, she'll do an internal. It's up to me, that's just one of the few instances that her birthing mothers sometimes prefer she does an internal (she often does none at all, and will only do one if the woman asks - she may gently suggest one if she feels there is some information to be gained from doing one that the mother may want, but she'd never push). Thanks for sticking up for me though!



 
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Old Jun 10th, 2011, 03:15 AM   8
Bournefree
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hahaha! No worries, I forgot you were home birthing!
I would love to have an IdMW, that must be so reassuring. They are so confident in their skills and see more women all the way through there pregnancies and birth, so really get to know you and baby better. You lucky duck!
XxX



 
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Old Jun 10th, 2011, 03:43 AM   9
indigo_fairy
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I didn't refuse any last time, but boy do I wish I did, every time is was a negative reaction as I hadn't progressed to their protocol... And I guess everytime I found out I hadn't progressed it just put more and more fear into me which is a vicious circle! Especially when they said I'd got to 7cm, then 6hrs later said I was at 6cm and I was swelling, that really panicked me, but I now know swelling can be normal just because of baby pressing on the cervix, but at the time they treated it like I was about to swell up and die or something!!

So this time, needless to say I will certainly be having the minimum of VE's, I would be happy to have one when the MW arrives (as it will hopefully be well into my labour if all goes to plan) and then again if I'm going hours and hours and feel I need to know. I'm definitely putting on my birth plan, minimum VE's and expressed consent first. I'll have DH and doula to stick up for me if I have any pressure, how frustrating that we should even be preparing for these kind of potential problems in the first place?



 
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Old Jun 10th, 2011, 07:57 AM   10
lynnikins
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i had 2 internals with ds2 one to check before i was induced then again caus i wanted to know how things were going and it surprised the MW that i was so far dilated 6cm, next thing that went through there was his head lol i knew when i was fully dilated and he was on his way out lol the MW's were telling me not to push so they had time to put on their gloves



 
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