Shopping Cart
Your Cart is Empty
Quantity:
Subtotal
Taxes
Shipping
Total
There was an error with PayPalClick here to try again
CelebrateThank you for your business!You should be receiving an order confirmation from Paypal shortly.Exit Shopping Cart

Sweet Pea Births

Chandler, Arizona

Sweet Pea Births

...celebrating every swee​t pea their birth

Blog

Info Sheet: Vaginal Exams

Posted on March 4, 2016 at 2:01 PM Comments comments (0)
Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson
Pelvic or Vaginal Exam during Pregnancy (3rd Trimester)

According to Mayo Clinic, “as your due date approaches, your prenatal visits might  include pelvic exams. These exams help your health care provider check the baby's position and detect cervical changes.”


*History

Pelvic examination during pregnancy is used to detect a number of clinical conditions such as anatomical abnormalities and sexually transmitted infections, to evaluate the size of a woman’s pelvis (pelvimetry) and to assess the uterine cervix so as to be able to detect signs of cervical incompetence (associated with recurrent mid-trimester miscarriages) or to predict preterm labour (see Section 11.3).

In an RCT that assessed the relationship between antenatal pelvic examinations and preterm rupture of the membranes (PROM), 175 women were assigned to no examinations and 174 women were assigned to routine digital pelvic examinations commencing at 37 weeks and continuing until delivery.233 In the group of women who had no pelvic examination, ten women developed PROM (6%) compared with 32 women (18%) from the group of women who were examined weekly. This three-fold increase in the occurrence of PROM among women who had pelvic examinations was significant. 

Based on the above study the NCBI concluded, “Routine antenatal pelvic examination does not accurately assess gestational age, nor does it accurately predict preterm birth or cephalopelvic disproportion. It is not recommended.” 

Another study completed by the NCBI concluded, “In patients with a US-documented viable pregnancy, the pelvic examination did not contribute to the patient's immediate obstetric treatment. Occult cervical pathogens may be present in these patients.” 

Sources:

*PROS

Vaginal Exams can possibly measure:


  • Cervical Dilation
  •  Cervical Ripeness
  • Cervical Effacement
  •  Station of baby (position in relation to pelvis -5 to +5)
  • Position of the baby (anterior vs. posterior)
  • Position of the cervix
  • May find cervical anomalies, like early dilation and effacement, so that appropriate changes can be made to the woman's care, including bedrest, hospitalization, tocolytics, etc.
  • May stimulate the cervix so that a medical induction does not become "necessary"



*CONS

  • Increased risks of infection, even when done carefully and with sterile gloves
  • Increased risk of rupturing the membranes
  • May stimulate the cervix prematurely
  • Information collected does not accurately predict when labor will begin and may excite or disappoint women unnecessarily 

Sources:

*Links to explore

Pelvic Exams Near Term: Benefit or Risk? Talking to Mothers About Informed Consent and Refusal

Premature rupture of membranes at term. Retrospective study of 88 cases

Chorioamnionitis in the delivery room

Bacterial vaginosis and intraamniotic infection

Premature rupture of the membranes and ascending infection

Did you have vaginal exams in your third trimester before your labor started? Thoughts?
Please leave us a comment - it will be moderated and posted. 
 

Disclaimer: 
The material included on this site is for informational purposes only.
It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.

Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson

Pregnancy 101: Third Trimester Mealtimes

Posted on May 27, 2014 at 12:38 PM Comments comments (0)
I say it every session – it’s hard to believe we are coming down to our last week in our Bradley Method® class.  This Friday is the last class for our Spring 2014 class series!!
 
One of the questions that came up in Class 11 was about comfort, or lack thereof, after meals.  To answer this question, let’s look at what happens to the pregnant body:

Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, PaysonColor image via flickr: Papier Mache Models of Pregnant Woman 
At the Boston Science Museum, in Boston, MA
 
Do you see the difference in the stomach between the two images?  As your pregnancy progresses, your internal organs are pushed out of the way to make room for baby.  This means that it’s a pretty safe bet you will not be comfortable after a big meal in your third trimester.
 
Instead of trying to eat the way you did early in pregnancy, you may have to plan smaller, more frequent meals.  You still want to meet your pregnancy nutrition goals, so try to work in protein every time you nosh. 

  • HERE are some ideas for protein-rich snacks.
  • HERE are ideas for high-fiber (so you feel full) and high-protein meals that you can make and are great on the reheat.

It may be overwhelming to think of preparing six meals a day.  One option is to make snacking fun!  You may want to use a muffin tin to serve yourself a handful of your favorite bites between meals.
Bonus: the muffin tins will come in handy to feed toddlers.
 
This tin is designed to interest a toddler - not sure a pregnant mama will go through the trouble to cut out food in shapes - lol. Picked this image because it has all the food groups: grain, protein, greens, calcium, vegetables and fruit. Note: lunch meats are not recommended in pregnancy due the concern about listeria contamination. If a student loves sandwiches, we ask them to consider cooking the meat and then thinly slicing it to sandwich size. You can freeze it in single serving size portions to pull out and use as needed.)
 
If you are going out to eat, remove the temptation to clear your plate by asking for a take-out box when your server brings your meal.   Split your meal in half and store it right away – out of sight, out of mind as far as your stomach is concerned.  
Bonus: you have a yummy, ready to heat & eat meal when you are hungry again later in the day.
 
With a little creativity, it is completely possible to feed you and your Sweet Pea with nutritious food throughout the day, meet your nutrition goals, and still be as comfortable as you can be with your growing belly!

What is your favorite pregnancy snack? 
 
Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, PaysonDisclaimer: 
The material included on this site is for informational purposes only.vvIt is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.
 


0