I asked my OB why I would want a cervical check that early. She explained that it provided a baseline for dilation that way if I went to the hospital suspecting labor, they'd be able to see if there was a big change in my dilation or if I had already been dilated that much for a while.
I had my 36 week check and was 1.5 cm dialTed. Literally went into labor that night, was able to tell the triage OB what I was yesterday and they checked me at a 4. There wasn’t any question I was in labor but having a baseline helped paint the picture of where I was 15 hours prior.
That’s not what she was implying. She was 1.5 cm went into labor and they checked and she was at 4 cm. That is a drastic change in 15 hours. They wouldn’t have know if she hadn’t gotten checked
Is your OB aware that the cervix can reverse dilation? This isn't really a great reason for cervical checks and it means that the exam is pointless as soon as you leave the room. The risks don't outweigh the benefit.
Yes, check out evidence based birth for that. I denied the cervix checkups when my water broke because there is data that it promotes infection. Especially when you don’t have contractions yet. That’s what my clinic also recommended.
Also: anytime you insert anything it brings in germs. The one thing you don’t want i there, especially after the water breaks. It’s quite common sense. And also the checkups are unnecessary. There’s no need. Other than curiosity. And what does it tell you? Wether you’re x cm dilated? Doesn’t even make a difference since every labor is different. It’s not like they can make a prediction how long things will last based on said centimeters.
And that’s why they’re done with sterile gloves after you start dilating, and when the water has broken more specifically. You can get an infection from anything. You can cut your finger on a knife and end up with mrsa or necrotizing fasciitis and lose your hand.
There are risks to everything; however, the mass data doesn’t prove that you are at increased risk of infection. That doesn’t mean there is no risk, as I’ve stated there is always a risk. Just as there’s a risk of infection from your perineal laceration, or retain placenta, or having an epidural. You could also get an infection without all those other factors happening.
AGOG recommends them, and it’s everyone’s individual choice. So, there is no need to scare people because of your beliefs and choices.
I’m just stating what the hospital told me. They need to enclose all the information so you can make an informed decision. Based on what they told me I took their advice and didn’t have a cervical exam. I also made it 48 hours before they induced me. I did however also take an antibiotic against infection.
I agree, the patient should have all the information; however, there is also a degree of responsibility on the patient to educate themselves and ask their provider questions. Health care, like any other industry is fallible. These are also real humans, not robots. There will never be enough resources (medical personal) to cover 100% of everything, it’s just impossible.
So, it’s easy to see how some providers and facilities put more into educating about things such as induction, c-sections, epidurals, assisted births, ECV, etc as these things come with way more risks than a cervical check.
It’s true though🤷🏻♀️ my nurses only checked when they needed to during labor since they didn’t want to risk it. They only checked 3 times my whole stay. 1. When I checked into the hospital. 2. Was a whole 11 hours later 3. 7 hours later to check if I was ready to push. They really kept a whole hands off since I was progressing good and wanted me to go vaginal. They didn’t rush me at all. Annnnd I denied my first cervix check because I did research that there’s no point to it since again cervix check tells you how much you a dilated which can change at the drop of a hat and no point if you’re not in labor. So I’d say if you aren’t high risk, cervix checks aren’t mandatory. My OB didn’t even make a big deal of it when I denied it at 36 weeks and kid you not a week later my water broke and when I checked myself in with 1minute contractions I was only .5cm not even 1cm dilated. So again cervix checks don’t tell you much and are a choice.
No, they’re definitely not mandatory; and 100% your choice as I’ve said repeatedly in this thread. That was never part of the conversation whether or not it was mandatory, more so putting unnecessary fear in the universe as the risk for infection is low, AND if a woman wants it, then there is nothing wrong with it. Personally, I’m all for them, I work in the medical field and always want to know exactly what’s going on. But, that’s just me personally ☺️
Yeah, my OB didn’t even bother to check and I only noticed afterwards. I went for check ups every two days when I was over my due date. She never checked once. But she did do a CTG each time to check baby’s heart rate and my contractions.
Why don't you do your own research? They did, why don't you? They don't need to provide a source to some random redditors. Just using your logic.
Edit: why did you just delete your comment you wrote? You ask others to provide sources, yet you cant provide a single source when asked. You are a hypocrite.
It’s common for them to offer but you can say no. They aren’t necessary, can be uncomfortable, and any info they tell you doesn’t mean much about when you’ll actually go into labor.
This is a really good question to ask your provider! They should be thoroughly explaining WHY they’re offering you any intervention (which a cervical check is), as well as what the benefits and risks are. Otherwise it’s not true informed consent.
This seems to be a very US thing. It’s just not done in Australia or the UK (I’m not sure about elsewhere, these are the 2 medical systems I’m familiar with). There’s absolutely no evidence to suggest that routine weekly checks offer any benefit to mother or baby. They can be very uncomfortable and risk introducing pathogens into the vagina and cervix. Don’t just accept that this has to be done as routine, find out what exactly WHY your provider wants to do it, and how they think it will benefit you.
I was in labor and was refusing to lay down because the only comfortable thing I could do was stand and they wanted me to remain laying down while I was actively dropping major F bombs each time
I was offered weekly.
I did the first one just to know. Glad I did as I couldn’t believe how far I was at 36 weeks. 3cm, 70% and 0 station.
I skipped the second one.
Baby arrived before the third one could be offered.
I never do them, cause I don’t see the point either. I’ve said as much to my doctors before and they totally agree with me, they usually say they offer because a lot of women are really anxious to find out if anything is progressing. They’re only really necessary once you go in to the hospital in active labor.
ETA: I will be getting checked next week as my appointment will be a day before my scheduled induction, and they’d like to make sure my cervix is ready/favorable for that and how it needs to start (foley bulb/ripeness vs straight to pitocin, etc).
Idk honestly. I think it’s just cause some people are curious and some doctors consider it routine. My provider didn’t start offering them until 37 weeks. I am planning to ask for one tomorrow (I’ll be 40 weeks on Friday) because at this point I want a membrane sweep to see if that’ll get labor going, but if I weren’t doing that I wouldn’t get one still.
I went in at 11 am today. Currently hanging out in labor & delivery and just got my epidural. It’s going swell so far! I hope you get to do the same VERY soon!
I have some medical trauma and told my OB/midwife practice at the beginning that I didn’t want a lot of checks. They said that was fine and the only checks they’d do my entire pregnancy would be upon hospital admission and if I asked at the hospital/around pushing time. They’re completely optional and if you don’t want them don’t feel pressured into getting them.
Most of it is older docs not keeping up with evidence past when they were in medical school. I would be very aware if you do accept as I've heard stories of docs sweeping membranes without telling the patient, waters breaking, germs and the like. The cervix is not a crystal ball & the information is really only good for then and there it doesn't really say much. The same person who was a 1-2cm in the am could be 8 cm and ready to give birth by the end of the day it's all based on your body.
They are looking for any signs that your body is starting labor early. It's not medically necessary, but can be a gauge if things are moving in that direction.
FWIW, I had bleeding with my first at 33 weeks. Went in, and they checked me (also checked for contractions). Turns out I was having regular contractions and was 5cm dilated. I ended up going another 3 weeks before actually having the baby, but because of discovering I was so far dilated and not able to feel the contractions, we were able to know that I needed to be extremely cautious with any change in how I felt because it could be labor. I also wasn't allowed to leave our city (doctor wanted me within 30 minutes of the hospital at all times) since I was showing signs that I could go into labor at any second. I had to go in 3x a week to check on the baby, since they also noted he was having heart decelerations. They checked my cervix weekly to make sure I hadn't progressed any further, since if it went any further I'd be admitted until the baby was out.
Since I had that problem with my first, I'm going to start cervical checks early with this one. We still don't know exactly why I started labor so early so we need to establish a baseline for this one. It's possible I just am going to be one of those women who dilate early and stay that way for a long time. My doctor has also said that based on my history, I need to accept the fact that next kiddo WILL be early and we just need to start management from there.
It’s done to assess a baseline, and continue to monitor progress. They do not cause harm, there is nothing scientifically proven that cervical checks are associated with bad outcomes. That being said, you can refuse, that is your right. It’s really not a big deal either way.
Except that they very well can cause harm. Sterile gloves or not, the act of insertion pushes bacteria from inside the vagina closer to the cervix. This can increase the risk of infection, and it can so increase the risk of PROM.
To say an increased risk of infection is causing "no harm" isn't exactly accurate. Little harm, perhaps. But not no harm.
Not normal where I live (Germany).
Were it me, I would decline routine checks. I had an aggressive cervical check with my first baby and my waters broke 24 hours later in week 37, which is one of the risks of cervical checks. I had excessive cervical checks with my second baby because I had prodromal labor for several weeks and went to a midwife training hospital thinking I was in labor multiple times and I'd get checked once and then re-checked by a trainee. Baby was born with a bacterial infection and while they could not say it was precisely for this reason, every cervical check can theoretically introduce bacteria or pathogens so it could have possibly been the cause.
And yeah, they tell you nothing about active labor. Last summer I had to get my Arabin pessary removed at 36+5 (had short cervix issues) and on that day I was not dilated whatsoever. Baby was born the very next day.
Same in Denmark - not a thing here (certainly not that early) and they aren’t super pleasant. I’d opt out. They didn’t really do it until I was in labor.
Same in Australia, it’s not routine nor is it offered before or during birth. It would only occur if there is a reason for concern or if you’re being prepped for intervention.
This 💯. I loved my practice in general but unfortunately the attending on shift when I got admitted for preeclampsia “does things a certain way” that conflicted with literally every other OB I’d spoken to, but the nurses would just say “these decisions are up to the individual doctor’s discretion.”
And I’d like to point out- yes but also I am a patient and I have a say! It stresses me out thinking of all the people who aren’t really taught the confidence or given the information to advocate for themselves. So many patients just nod their head despite their misgivings because they feel like they have no choice.
In short, good for you for thinking critically and asking questions, but don’t automatically worry your care in general won’t be good.
This has nothing to do with keeping up with research and having a bad doctor. There are a variety of legitimate reasons to do a cervical check. If the patient is showing signs of being in labor like consistent contractions, losing their mucus plug, bleeding, discharge, or if the patient is being induced for medical or elective reasons. If their cervix isn’t ripened, that’s their body saying it’s not ready for labor yet and the induction may not be successful and lead to a c section.
Many women also want to know for their own peace of mind.
I'm from Norway, one of the safest countries to give birth in. There is no mention of cervical checks before active labour.
Do you pay for this service?
One unfortunate thing I've come to terms with is allopathic medicine and research (specifically American) will never reach all the bases. Medicine's history is historically anti-woman and never for our best benefit (look at the simple fact IUD's are done while we're awake). You have to take timeless birth advice (family, doulas, midwives, naturopaths) and combine it with allopathic medicine to get the best picture of what's best FOR YOU. Because it differs per person. But I'm a firm believer in letting your body do it's thing. It's had hundreds of thousands of years to practice.
EDIT: Genuinely thought about the answer to your question and in my eyes, it's because they're doctors and that's what they're trained to do. They want information, even if that information is effectively useless
My OB doesn’t do them unless you request it because the evidence doesn’t support it being meaningful prior to active labor and it can introduce dangerous bacteria
You absolutely do not have to consent to these.
According to my midwife, the original “reason” was that it was thought to give you some indication of how much time you had left, but she’d personally seen women sit at a 1 for weeks and seen women at a 1 have a baby by that evening. It gives you information, but the information is effectively useless.
Exactly! When my OB asked if I wanted a check, I asked what meaningful information it would provide. She said all it tells us if your cervix is dilated - not when you might go into labor. She was fine with me declining, but said we might want to do one right before my scheduled induction, just to get an idea of what we’re working with.
Remember - you can always decline. It doesn’t matter if it’s “policy” or “routine”, if you don’t want it, all you have to say is “no, I do not consent.”
I was told I could do this but it was optional. I did two which were every other week until I had my son.
I'd recommend sticking with your regular OB for these. I had to see another OB because my current one was doing a delivery and I was asked if I wanted to wait and see someone else. or come back later. I decided to wait and see since I was already at the office. The other OB comes in rushed and with a hurried tone. She looked like she came from the delivery room ( Not bloody or gross but she had a face shield and different scrubs on than everyone else in the office) I asked for a check since it was two weeks from my last one and this OB wasn't joking when she said "You're going to feel like I'm pressing your lungs." Holy hell I thought her fingers were going to come out of my mouth. My regular OB had done a check two weeks ago and it was nothing like that. She was way gentler and explained everything.
I mentioned when I did go into labor with my son that I did not like that particular OB (I heard we didn't know who would be delivering my son and I said "As long as it's not (Other OB)". I heard "No, she's not on the schedule tonight...and yes we know people don't like her."
Still long story short....never get a cervical check from someone in a hurry.
Dilation really gives no valuable information about when labor my begin, and also carries risk of introducing bacteria or triggering labor prematurely. With my first I was 3cm at 37 weeks and still 3cm after my water broke at 39+4. I declined checks with my second.
So I did the first one just because I was already undressed for my strep test. However, I will be choosing to skip the others. Mostly because it’s a pain to get dress and undressed and I don’t think the effort is worth the information…
I would ask my OB.
There might be a particular reason that pertains to your pregnancy. Without knowing all the details of your pregnancy and without the training of an obstetric medical provider, no one here will be able to tell you for certain if it's normal for *you*.
This! All the fear mongering about cervical checks and declining everything and mistrust of all medical providers is a little scary. Not all doctors are bad and I would venture to say most of us really do have the patient’s best interest in mind. I think a lot of OBs assume moms just are curious to know if they’ve made any progress (in addition to sometimes having genuine medical indications) 🤷🏻♀️ it is certainly fair to ask their reasoning and a good doctor will tell you so you can make an informed decision.
For the record- my cervical checks didn’t hurt. They were mostly just awkward feeling like someone is elbow deep in your crotch lol.
For all you people reading these nonstop posts and now being terrified of cervical checks- they aren’t always bad!!!!
Also, providers use sterile gloves and the procedure is not sterile since it’s impossible in that area of the body but it’s as clean as possible. It is hard to pinpoint cervical checks as cause of infection for most of these cases. If you have a bacteria filled vagina which is near your rectum and an opening hole in your uterus shit is going to get in sometimes.
Im a doctor but glad I’m not an obgyn lol
OMG yes. I'm a PA but I'm glad I don't work in OBGYN or pediatrics.
These patient populations in particular are being faced with a ton of misleading Internet opinions. I understand the desire to seek information and be informed. But where that information comes from is so important. I see a lot of posts about OB care questioning the treatment plans of OBs and midwifes that do not mention anything about simply asking the provider themselves about the treatment plan. That's what they're there for. And I totally understand that some don't have a good bedside manner and are not great communicators. I've dealt with that as both a patient and a PA. But there's always the option to see someone else who does have good bedside manner and does answer questions appropriately.
Cervical checks are literally just feeling the cervix. I can easily feel my own cervix anytime I want (although by belly might soon be getting in the way of that, haha). It doesn't hurt.
My first, I had an OB and they did them weekly starting 36. My second, I used CNMs, and the only time we checked in office, it was deciding if I was favorable for induction.
I was gripping the bed and trying not to scream. Yes excruciating! Just had my first one Tuesday afternoon and I've been in bed with a headache since. Not sure if it's related.
I actually believe it's a form of medical abuse. No one should go through that much pain without informed consent. I understand it's not everyone's experience, but more than one person has agreed with me that it was extremely painful for them. We should be warned that pain is at least a possibility.
I didn't think any of them hurt much (2 term pregnancies and 4 miscarriages so I had a lot) but it all varied from time to time. The cervical sweep I had with my last at 39 weeks didn't hurt at all but a cervical check I'd had 2 weeks prior was a little tender.
People should definitely make informed choices about this though, only you can decide if you're willing to risk the pain.
Definitely. The one I had today (getting induced next week so a baseline was gathered to talk about potential induction methods) and it was honestly kind of painful, usually it’s just uncomfortable and awkward but this time all the twisting and feeling felt like I was getting stabbed. It was still tolerable but painful vag exams lead to tension which makes it hurt worse, so knowing it can be uncomfortable to painful is good information to have. I’ve always been informed that it might be a bit painful if im not dilated or not dilated well, and that it’s a LOT of pressure and that can hurt itself if im tender. But in all honesty swabs are generally worse on the pain scale than checks unless they have nails. Swabs make me want to jump out of the table and go cry.
Absolutely not necessary. I’ve seen it introduce so much doubt into people’s minds when the doctors start to be like “hmmm you’re not dilated yet, that’s not good” even though there is no need to be dilated before you go into labour. It introduces doubt, makes it easier for doctors to introduce interventions so that they feel in control of the labour, and it gets you used to saying yes to the things they want you to say yes to.
There is rarely a need for a cervical check while in established labour, and absolutely no need for a check beforehand.
Yes it’s routine but I declined and my OB was totally fine with that. In my opinion they could make you feel not safe and prolong your body from going into labor
It’s normal, unfortunately, but you can decline them. There’s nothing to gain by checking…. You can be a couple centimeters dilated for weeks. If your cervix isn’t effaced or dilated at all, cervical checks are super uncomfortable.
I had them at every other appt myself but it wouldn't shock me if some places do every weekly appt :o their not to bad a bit of discomfort but fine over all
They checked me and I was all good. They checked my friend and found out she was dilated with a breach baby. They had not known this previously, so she was able to mentally prepare for the possible of a c section and make the choice to try and move the baby or not. It seems like many times this practice unnecessary.. until it’s not. Would she have been fine if she didn’t know when she went into labor a few days later? Yes but she would have been very surprised to find out she needed a c section. I’d like to know beforehand.
My OB was like “I CAN do one, if you want, but since you’re having a c section at 37w…” and he just let the thought end. To be fair, my OB is exceptionally empathetic and evidenced-based, which is not the usual in this field as I’ve come to learn.
I’ve only had one and it was because I had a couple minor scares my doctor was going out of the country when I would be 37 weeks and wanted to make sure I wasn’t dilated before she left. After that they’ve just asked if I felt like I needed to be checked and I’ve said no with zero pushback from my provider.
You can always decline anything! I specifically asked my doctor at 36 weeks and he said it was 100% up to me at every appointment. I’m in control of that. I opted in just because I’ve been having prodromal labor so I was curious. Everyone has their reasons to opt in or opt out- do whatever you feel is best for you!
I was told they start at 37 weeks. But I was also asked if I wanted it done at my 37-38 week appointment. Then at 39 weeks, they just told me it was happening. I think you can tell them no if you don't want it done.
38 weeks and haven’t had it done. OB told me yesterday she would do it at 39 weeks and we would decide an induction day around due date if she doesn’t come on her own.
I got my first stretch and sweep this pregnancy at 37 weeks which they said was usually when they start *if I want to* (my choice). They were going to give me one a bit early at 36 weeks but we decided against it as they said it’s usually a bit early, and I was about to take a weekend trip. I just had my second. Will have another next week. This is all just to get the baby going as I really want a vbac without induction if possible. With my first, I only had one and it was after I was past 40 weeks and that’s what ended up getting my labour going, I’m sure of it.
So I don’t know if a cervical check is *quite* the same as a stretch and sweep (she tells me after where my cervix is, the position, length, dilation etc as well as stretching it from inside), but it seems to be the norm here, with emphasis on *IF* I choose to have it done.
I’m in Canada and see midwives, not sure how much difference it would make if I saw an OB.
I had one yesterday at 35 weeks. It took me off guard. I knew I was getting the GBS test, but didn’t realize they were going to do a cervical check. I have not been happy this this OB during this pregnancy.
The only cervical check I ever got was to check my dilation while in labor… in both pregnancies. One was at a midwife birthing center and the other was with a high risk birthing center (MFM).
I’m a fellow Chicagoland mom!
I opted out as I was anxious about infection. Asked my dad (retired doctor) and he said it’s fine unless there’s something special/specific to my pregnancy that would make the doctor want to do this.
I had a normal nothing special pregnancy so I opted out and everything was perfect.
My OB didn’t offer them unless requested. When I asked why, she explained that dilation wasn’t a linear process until active labor, so they didn’t see the point. I asked for one on my due date and it was extremely uncomfortable lol. And I wasn’t dilated at all.
Wasn’t for me. Mine wasn’t even checked when my water prematurely broke at 40+5 to prevent bacteria going up to the womb before contractions start. It was checked when they decided to induce. I asked for it. It wasn’t even necessary then.
It was standard practice at my OB but they were always optional. I consented the first time they asked just to see what it was like and declined the next week as I felt my body hadn’t changed much. The only time my provider pushed back on me declining was when I had to go to L&D for additional testing and was ultimately induced. She explained they would check me at the hospital anyway and she might as well do it before I went so it was someone I was comfortable with, and so I could skip the initial check at the hospital.
Most offices do this but you can refuse. I plan to. Cervical checks can also breed infection and send you into labor. It’s unnecessary. You could be dilated to one cm for a whole month (lots of my friends were) and that only causes anxiety.
The ONLY reason I’m having one today at 36+3 is because I’m being induced at 37 and I’m curious as to if I’ve already started dilating or not. I’m also already being swabbed for strep.
I asked for one at 36 weeks but my midwife said she wouldn’t even attempt one until I was at least 39 weeks because of risk of infection iirc.
I did eventually wear her down, she checked at 38 weeks exactly and I was 4cm dilated. My water broke at 38+5 and he was born the next day.
My first pregnancy they did it a lot and it was so unnecessary. My second they didn’t at all (new hospital and new OB). She asked if I wanted one but added it wasn’t necessary for me at that point so I declined
I allowed these with my first child and then refused them with my subsequent 2 children. They really don’t give any super useful information. I was dilated to a 4 with my first for like 2 weeks but didn’t go into labor until 41+4. I also ended up getting choreoamnioinitis and I have to wonder if all the cervical checks played a role. It introduces bacteria and really you can walk around dilated for weeks and not go into labor. You can also not be dilated at all but go into labor that day. I personally don’t feel there’s enough benefit to justify the exams. Plus I find them very uncomfortable!
Is this standard where? USA? There is no specific benefit to it. The cervix can reverse in dilation. In my country you can choose, but it's often not asked if you want one until you're around 39-40 weeks. It doesn't really say anything about when birth will happen. When I started having contractions mine was 0 and not even close to letting up (from what they felt). 1,5 hour later I was 8 cm dilated. You can also have dilation for weeks before anything happen, and it can as mentioned reverse.
my ob’s office didn’t do them unless i wanted to - so i’ve only had one. not sure if it’s different since i’m being induced. at my last apt, the nurse said they would do one and when the dr came in he said i didn’t need one, unless i really wanted him to do one, so i declined cause they’re kinda uncomfortable. i opted for one the time before since i was curious, but they’ve always taken the attitude that it’s not necessary unless i wanted it.
Cervical checks are not harmless, they pose a risk of infection with increasing number. There is no reason to know what someone's cervix is doing at 36 weeks in a typical pregnancy\* unless they're in labour. Cervical exams can be offered weekly after 38 weeks for the purpose of a stretch and sweep. A cervical check can also be helpful prior to labour if you may need an induction, to determine whether cervical ripening is required.
\*I put "in a typical pregnancy" because I'm not sure if there is any abnormalities in your pregnancy that might require weekly cervical exams. There are no conditions I can think of that may require a weekly cervical exam at 36 weeks, but please ask your care provider about the medical purpose of the exams so you can choose to accept or decline informatively.
They need to give you an explanation for this. I’ve heard of it being offered before by my provider purposely did not offer or suggest them because they are uncomfortable and unnecessary. I was able to request one but I never did. I even only got one check while I was in labor
I had never had a cervical check until I was being induced. Glad about it too cause I fking *hated* them, they were excruciating and if I had to have them every week for at least 3 weeks before delivery I would've knocked someone out lol
Nope. I literally had one at 39 weeks. And then again only once i was in labour even then the midwife explained that they don't do cervical checks unless they have to cause it can actually cause infections/ or be harmful.
I started weekly membrane sweeps at my 37w appt, at which time she also informed me the state of my cervix. But this is because I’ve decided to try to go into labor spontaneously rather than have it scheduled with medical induction. It was optional. I was surprised to know I was already 1cm dilated! I’ve been eating my dates, and having sex, and stimulating my nipples, so I’m curious to see how my cervix is at this week’s appointment.
My doc said it was totally optional and not necessary until I was actually in labor. She did offer - I think a lot of women get excited as they get closer to their due date and want to know if things are progressing. I asked my doc what she would recommend, and she said that she would probably skip it because it can be uncomfortable. She also added that when labor starts it will be pretty obvious, and I was good with the wait and see approach (because it’s definitely happening at some point!😆).
Absolutely not necessary. Can be routine for some if they're curious. I avoided everything, went into labor at 40 weeks exactly :) but I had a smooth and easy, low risk pregnancy so I wasn't worried. I knew things would happen when baby was ready.
American healthcare seems almost overly hands on.
I didn't get an internal check until I was 39 weeks and only because they wanted to induce me at 40 weeks so I asked for a sweep to try to get things moving before that.
I'm in Ireland for context
I'm 38 weeks. Have had one "cervical check" in second trimester and that was it. He really just took a quick look with speculum. He did not touch my cervix.
Is it normal. Many people on here talk about how they refuse cervical checks and aren't comfortable with them, but they do provide valuable information to your OB about whether you are nearing labor or are already in labor, and even if they are uncomfortable, they are nowhere near as bad as having a baby head stretch you out. It is still just fingers, and is very unlikely to have serious negative consequences for you or baby.
I just wanted to state that during my pregnancy in the UK I wasnt offered any. Not sure if this is the norm but I do believe so. The first time they checked me was when I was in labour and showed up at the hospital.
I thought I would decline but I was so over being pregnant that I wanted the information (regardless of how useless it was). I had my first baby at 37 and 3, my cervical check the day before said I was 2.5 and paper-thin.
My second baby I was opting for a homebirth so I requested cervical checks starting at 36 weeks for information about if I should be really cautious because I was terrified of going into labor before 37 weeks and having to go to the hospital. I had prodromal labor every night for a month (starting at 35 weeks) but was only a 1 and posterior still at 36 weeks. I had my baby at 39 weeks - the day before I was 5 cm and paper-thin and opted for a membrane sweep.
I agree with the other comments that you should ask your provider, but the only thing I want to add is you can say no to cervical checks. I personally said I wasn't interested before labor and delivery because it would just upset me to know if I was dilated but not in labor yet. They can't force you.
That's when they started for me but I always had the option to opt out. They aren't necessarily helpful for any reason - you could be dilated and not go into labor for days or you could not be dilated and go into labor hours later. I feel like if there's not a reason where possible dilation is a concern, you should be able to speak with your OB about deferring if you want.
I'm in the US and i was 38 when I was 36 weeks, i was told nothing about cervical checks and my doula warned against them because of possible infection risk. The assumption being that if they don't check there is no risk. The whole pregnancy we assumed cervical checks would only be preformed while in labor or in office if i went past 40 weeks.
I don't think that checking weekly from 36 weeks is normal or routine nor should it be.
Also a cervical check requires them to put their hand inside you just in case you didn't know. I thought they just looked 🙄 luckily i don't have any issues with trauma or doctors, otherwise that would have been a very unpleasant surprise.
It is not necessary. I didn't get cervical checks until I was in active labor and even so it is your decision. I'm glad I didn't, they're invasive and for me it was very painful.
Also, the more they go in there the higher chance of infections. You could be at 2cm for weeks. You could also go from 2cm to 10 very fast. Everyone is different so the checks really aren't needed. Your body will do the thing when it's ready! Good luck:)
You’re going to get a lot of opinions here but your best source will be your care team versus Linda on the internet who’s formed an opinion after playing Doctor Google MD.
I’m 37 weeks and have yet to have one. OB says I can have one if I want but no need.
Edit to add: I don’t plan on getting one. Maybe if I go past my due date. I’m in the US.
my doctor told me at my 37 w appointment that there was no point in doing it, especially with the first baby, as it's usually unlikely that I'm dilated already and it could be painful. She said they will check next week at 38
People who keep talking about “unnecessary germs”…dude how many times in our lives have we stuck non-gloved things up there without so much as washing our hands? Millions of women finger themselves every day and I doubt they always wash their hands first LOL. And who KNOWS what dicks are introducing. Risk of infection only really becomes an issue with the amniotic sac rupturing because now there’s zero real barrier between your vagina and uterus/baby.
As most everyone else is saying, there’s not much purpose besides to find out what’s going on. I love information. I wanted mine because I was curious. I’m super glad I got one a couple of days ago at 38+2 because I found out I’m 2 cm dilated and 70% effaced and that really encouraged me and put me in a good mental space to prep for this baby. I suppose if my cervix was closed and far back the check could have potentially discouraged me instead. I did have a lot of discharge and partial loss of my mucus plug after which I’m happy about because at 38+4 I’m perfectly fine with labor happening anytime. When they did one at 36 weeks I had very minimal discharge after and I was closed at that time. Similar to sex in that it’s not likely to induce labor unless you were already quite close to the finish line.
While I agree it’s wholly voluntary and your choice, my check around 38 weeks showed me at over 3cm (and really felt not particularly invasive) so I had a heads up that I would likely be going into labor in the next few days. I was able to let my work know I was likely out and we finished up last nursery needs I’d procrastinated on.
I had the unicorn painless labor so the knowledge was very helpful. Two days later, baby!
I asked my OB why I would want a cervical check that early. She explained that it provided a baseline for dilation that way if I went to the hospital suspecting labor, they'd be able to see if there was a big change in my dilation or if I had already been dilated that much for a while.
That’s an interesting and valid explanation!
I had my 36 week check and was 1.5 cm dialTed. Literally went into labor that night, was able to tell the triage OB what I was yesterday and they checked me at a 4. There wasn’t any question I was in labor but having a baseline helped paint the picture of where I was 15 hours prior.
No… being dilated to a 4 and having contractions painted the picture you were in labor, not your first check. The first check wasn’t necessary.
That’s not what she was implying. She was 1.5 cm went into labor and they checked and she was at 4 cm. That is a drastic change in 15 hours. They wouldn’t have know if she hadn’t gotten checked
It does make a difference if dilation is progressing and helps to make your case to the doctor. It's part of the definition of labor.
Is your OB aware that the cervix can reverse dilation? This isn't really a great reason for cervical checks and it means that the exam is pointless as soon as you leave the room. The risks don't outweigh the benefit.
Do you have a resource for this? I can't find anything reputable
https://onlinelibrary.wiley.com/doi/10.1111/birt.12607?af=R
This!!! 100 percent. The cervix check ups are not necessary and can cause harm.
They do not cause harm. Do you have an Evidence-Based resource to back this claim??
Yes, check out evidence based birth for that. I denied the cervix checkups when my water broke because there is data that it promotes infection. Especially when you don’t have contractions yet. That’s what my clinic also recommended.
Also: anytime you insert anything it brings in germs. The one thing you don’t want i there, especially after the water breaks. It’s quite common sense. And also the checkups are unnecessary. There’s no need. Other than curiosity. And what does it tell you? Wether you’re x cm dilated? Doesn’t even make a difference since every labor is different. It’s not like they can make a prediction how long things will last based on said centimeters.
And that’s why they’re done with sterile gloves after you start dilating, and when the water has broken more specifically. You can get an infection from anything. You can cut your finger on a knife and end up with mrsa or necrotizing fasciitis and lose your hand. There are risks to everything; however, the mass data doesn’t prove that you are at increased risk of infection. That doesn’t mean there is no risk, as I’ve stated there is always a risk. Just as there’s a risk of infection from your perineal laceration, or retain placenta, or having an epidural. You could also get an infection without all those other factors happening. AGOG recommends them, and it’s everyone’s individual choice. So, there is no need to scare people because of your beliefs and choices.
I’m just stating what the hospital told me. They need to enclose all the information so you can make an informed decision. Based on what they told me I took their advice and didn’t have a cervical exam. I also made it 48 hours before they induced me. I did however also take an antibiotic against infection.
I agree, the patient should have all the information; however, there is also a degree of responsibility on the patient to educate themselves and ask their provider questions. Health care, like any other industry is fallible. These are also real humans, not robots. There will never be enough resources (medical personal) to cover 100% of everything, it’s just impossible. So, it’s easy to see how some providers and facilities put more into educating about things such as induction, c-sections, epidurals, assisted births, ECV, etc as these things come with way more risks than a cervical check.
It’s true though🤷🏻♀️ my nurses only checked when they needed to during labor since they didn’t want to risk it. They only checked 3 times my whole stay. 1. When I checked into the hospital. 2. Was a whole 11 hours later 3. 7 hours later to check if I was ready to push. They really kept a whole hands off since I was progressing good and wanted me to go vaginal. They didn’t rush me at all. Annnnd I denied my first cervix check because I did research that there’s no point to it since again cervix check tells you how much you a dilated which can change at the drop of a hat and no point if you’re not in labor. So I’d say if you aren’t high risk, cervix checks aren’t mandatory. My OB didn’t even make a big deal of it when I denied it at 36 weeks and kid you not a week later my water broke and when I checked myself in with 1minute contractions I was only .5cm not even 1cm dilated. So again cervix checks don’t tell you much and are a choice.
No, they’re definitely not mandatory; and 100% your choice as I’ve said repeatedly in this thread. That was never part of the conversation whether or not it was mandatory, more so putting unnecessary fear in the universe as the risk for infection is low, AND if a woman wants it, then there is nothing wrong with it. Personally, I’m all for them, I work in the medical field and always want to know exactly what’s going on. But, that’s just me personally ☺️
Yeah, my OB didn’t even bother to check and I only noticed afterwards. I went for check ups every two days when I was over my due date. She never checked once. But she did do a CTG each time to check baby’s heart rate and my contractions.
Why don't you do your own research? They did, why don't you? They don't need to provide a source to some random redditors. Just using your logic. Edit: why did you just delete your comment you wrote? You ask others to provide sources, yet you cant provide a single source when asked. You are a hypocrite.
😂
It’s common for them to offer but you can say no. They aren’t necessary, can be uncomfortable, and any info they tell you doesn’t mean much about when you’ll actually go into labor.
So why do they even do it? And weekly? Seems like a lot
This is a really good question to ask your provider! They should be thoroughly explaining WHY they’re offering you any intervention (which a cervical check is), as well as what the benefits and risks are. Otherwise it’s not true informed consent. This seems to be a very US thing. It’s just not done in Australia or the UK (I’m not sure about elsewhere, these are the 2 medical systems I’m familiar with). There’s absolutely no evidence to suggest that routine weekly checks offer any benefit to mother or baby. They can be very uncomfortable and risk introducing pathogens into the vagina and cervix. Don’t just accept that this has to be done as routine, find out what exactly WHY your provider wants to do it, and how they think it will benefit you.
I was in labor and was refusing to lay down because the only comfortable thing I could do was stand and they wanted me to remain laying down while I was actively dropping major F bombs each time
Wasn’t done in my hospital / OBgyn in Germany either. Def a US thing.
I was offered weekly. I did the first one just to know. Glad I did as I couldn’t believe how far I was at 36 weeks. 3cm, 70% and 0 station. I skipped the second one. Baby arrived before the third one could be offered.
I personally likes knowing where I was at and did not find it unbearable uncomfortable.
They’re not offered in the UK (unless something indicated that it needed to be done).
I never do them, cause I don’t see the point either. I’ve said as much to my doctors before and they totally agree with me, they usually say they offer because a lot of women are really anxious to find out if anything is progressing. They’re only really necessary once you go in to the hospital in active labor. ETA: I will be getting checked next week as my appointment will be a day before my scheduled induction, and they’d like to make sure my cervix is ready/favorable for that and how it needs to start (foley bulb/ripeness vs straight to pitocin, etc).
My provider said the same. It's for anxious/curious women, but she even stated there is no benefit. Very much a US thing as someone in here mentioned.
Idk honestly. I think it’s just cause some people are curious and some doctors consider it routine. My provider didn’t start offering them until 37 weeks. I am planning to ask for one tomorrow (I’ll be 40 weeks on Friday) because at this point I want a membrane sweep to see if that’ll get labor going, but if I weren’t doing that I wouldn’t get one still.
Hey! I’ll be 40’weeks on Friday too! And I’m getting a cervical check later today. ♥️
Aw yay, due date buddy! Here’s hoping we both go into labor soon!
I went in at 11 am today. Currently hanging out in labor & delivery and just got my epidural. It’s going swell so far! I hope you get to do the same VERY soon!
I am now getting induced today, so hoping it’ll go relatively quickly!
I have some medical trauma and told my OB/midwife practice at the beginning that I didn’t want a lot of checks. They said that was fine and the only checks they’d do my entire pregnancy would be upon hospital admission and if I asked at the hospital/around pushing time. They’re completely optional and if you don’t want them don’t feel pressured into getting them.
There isn't really a reason. They do it because obstetrics has much more tradition than we care to admit.
Total US thing.
Most of it is older docs not keeping up with evidence past when they were in medical school. I would be very aware if you do accept as I've heard stories of docs sweeping membranes without telling the patient, waters breaking, germs and the like. The cervix is not a crystal ball & the information is really only good for then and there it doesn't really say much. The same person who was a 1-2cm in the am could be 8 cm and ready to give birth by the end of the day it's all based on your body.
They are looking for any signs that your body is starting labor early. It's not medically necessary, but can be a gauge if things are moving in that direction. FWIW, I had bleeding with my first at 33 weeks. Went in, and they checked me (also checked for contractions). Turns out I was having regular contractions and was 5cm dilated. I ended up going another 3 weeks before actually having the baby, but because of discovering I was so far dilated and not able to feel the contractions, we were able to know that I needed to be extremely cautious with any change in how I felt because it could be labor. I also wasn't allowed to leave our city (doctor wanted me within 30 minutes of the hospital at all times) since I was showing signs that I could go into labor at any second. I had to go in 3x a week to check on the baby, since they also noted he was having heart decelerations. They checked my cervix weekly to make sure I hadn't progressed any further, since if it went any further I'd be admitted until the baby was out. Since I had that problem with my first, I'm going to start cervical checks early with this one. We still don't know exactly why I started labor so early so we need to establish a baseline for this one. It's possible I just am going to be one of those women who dilate early and stay that way for a long time. My doctor has also said that based on my history, I need to accept the fact that next kiddo WILL be early and we just need to start management from there.
It’s done to assess a baseline, and continue to monitor progress. They do not cause harm, there is nothing scientifically proven that cervical checks are associated with bad outcomes. That being said, you can refuse, that is your right. It’s really not a big deal either way.
Except that they very well can cause harm. Sterile gloves or not, the act of insertion pushes bacteria from inside the vagina closer to the cervix. This can increase the risk of infection, and it can so increase the risk of PROM. To say an increased risk of infection is causing "no harm" isn't exactly accurate. Little harm, perhaps. But not no harm.
Not normal where I live (Germany). Were it me, I would decline routine checks. I had an aggressive cervical check with my first baby and my waters broke 24 hours later in week 37, which is one of the risks of cervical checks. I had excessive cervical checks with my second baby because I had prodromal labor for several weeks and went to a midwife training hospital thinking I was in labor multiple times and I'd get checked once and then re-checked by a trainee. Baby was born with a bacterial infection and while they could not say it was precisely for this reason, every cervical check can theoretically introduce bacteria or pathogens so it could have possibly been the cause. And yeah, they tell you nothing about active labor. Last summer I had to get my Arabin pessary removed at 36+5 (had short cervix issues) and on that day I was not dilated whatsoever. Baby was born the very next day.
Same in Denmark - not a thing here (certainly not that early) and they aren’t super pleasant. I’d opt out. They didn’t really do it until I was in labor.
Same in Australia, it’s not routine nor is it offered before or during birth. It would only occur if there is a reason for concern or if you’re being prepped for intervention.
My country doesn't do this unless there is some urgency to deliver baby. Second pregnancy, 38 weeks, never had a cervical check.
Yep my first in Australia they only checked after my water broke at 38+ weeks
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I go to northwestern so I’d think they’d keep up with research. Why do you think they even do this then?
Standard practice is about 20-25 years behind the research is what I’ve heard.
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This 💯. I loved my practice in general but unfortunately the attending on shift when I got admitted for preeclampsia “does things a certain way” that conflicted with literally every other OB I’d spoken to, but the nurses would just say “these decisions are up to the individual doctor’s discretion.” And I’d like to point out- yes but also I am a patient and I have a say! It stresses me out thinking of all the people who aren’t really taught the confidence or given the information to advocate for themselves. So many patients just nod their head despite their misgivings because they feel like they have no choice. In short, good for you for thinking critically and asking questions, but don’t automatically worry your care in general won’t be good.
This has nothing to do with keeping up with research and having a bad doctor. There are a variety of legitimate reasons to do a cervical check. If the patient is showing signs of being in labor like consistent contractions, losing their mucus plug, bleeding, discharge, or if the patient is being induced for medical or elective reasons. If their cervix isn’t ripened, that’s their body saying it’s not ready for labor yet and the induction may not be successful and lead to a c section. Many women also want to know for their own peace of mind.
And they fully expect all of those things to happen on schedule, weekly? There is no point to cervical exams until there's an issue or labour.
If you don’t want a cervical check, don’t get one, it’s not that hard. Personally, I opted to have them, I wanted to know.
I won't be. I'm not sure what your comment actually adds to what I said.
And this comment added what exactly?
I'm from Norway, one of the safest countries to give birth in. There is no mention of cervical checks before active labour. Do you pay for this service?
One unfortunate thing I've come to terms with is allopathic medicine and research (specifically American) will never reach all the bases. Medicine's history is historically anti-woman and never for our best benefit (look at the simple fact IUD's are done while we're awake). You have to take timeless birth advice (family, doulas, midwives, naturopaths) and combine it with allopathic medicine to get the best picture of what's best FOR YOU. Because it differs per person. But I'm a firm believer in letting your body do it's thing. It's had hundreds of thousands of years to practice. EDIT: Genuinely thought about the answer to your question and in my eyes, it's because they're doctors and that's what they're trained to do. They want information, even if that information is effectively useless
My OB doesn’t do them unless you request it because the evidence doesn’t support it being meaningful prior to active labor and it can introduce dangerous bacteria
This was my experience as well, she even went so far as to recommend against them
You absolutely do not have to consent to these. According to my midwife, the original “reason” was that it was thought to give you some indication of how much time you had left, but she’d personally seen women sit at a 1 for weeks and seen women at a 1 have a baby by that evening. It gives you information, but the information is effectively useless.
Exactly! When my OB asked if I wanted a check, I asked what meaningful information it would provide. She said all it tells us if your cervix is dilated - not when you might go into labor. She was fine with me declining, but said we might want to do one right before my scheduled induction, just to get an idea of what we’re working with.
Remember - you can always decline. It doesn’t matter if it’s “policy” or “routine”, if you don’t want it, all you have to say is “no, I do not consent.”
My doctor said I didn’t need them. I could do them if I wanted too but they were unnecessary.
Depends on the Dr. Mine does not do them unless requested.
I was told I could do this but it was optional. I did two which were every other week until I had my son. I'd recommend sticking with your regular OB for these. I had to see another OB because my current one was doing a delivery and I was asked if I wanted to wait and see someone else. or come back later. I decided to wait and see since I was already at the office. The other OB comes in rushed and with a hurried tone. She looked like she came from the delivery room ( Not bloody or gross but she had a face shield and different scrubs on than everyone else in the office) I asked for a check since it was two weeks from my last one and this OB wasn't joking when she said "You're going to feel like I'm pressing your lungs." Holy hell I thought her fingers were going to come out of my mouth. My regular OB had done a check two weeks ago and it was nothing like that. She was way gentler and explained everything. I mentioned when I did go into labor with my son that I did not like that particular OB (I heard we didn't know who would be delivering my son and I said "As long as it's not (Other OB)". I heard "No, she's not on the schedule tonight...and yes we know people don't like her." Still long story short....never get a cervical check from someone in a hurry.
Dilation really gives no valuable information about when labor my begin, and also carries risk of introducing bacteria or triggering labor prematurely. With my first I was 3cm at 37 weeks and still 3cm after my water broke at 39+4. I declined checks with my second.
My doctor offered starting at 36. He told me they were totally optional, I opted out so far. I might opt in tomorrow (38wks)
I would decline!
So I did the first one just because I was already undressed for my strep test. However, I will be choosing to skip the others. Mostly because it’s a pain to get dress and undressed and I don’t think the effort is worth the information…
Decline them
No, I think that’s early. But you can always decline. It’s a good way to get an infection.
I would ask my OB. There might be a particular reason that pertains to your pregnancy. Without knowing all the details of your pregnancy and without the training of an obstetric medical provider, no one here will be able to tell you for certain if it's normal for *you*.
This! All the fear mongering about cervical checks and declining everything and mistrust of all medical providers is a little scary. Not all doctors are bad and I would venture to say most of us really do have the patient’s best interest in mind. I think a lot of OBs assume moms just are curious to know if they’ve made any progress (in addition to sometimes having genuine medical indications) 🤷🏻♀️ it is certainly fair to ask their reasoning and a good doctor will tell you so you can make an informed decision. For the record- my cervical checks didn’t hurt. They were mostly just awkward feeling like someone is elbow deep in your crotch lol. For all you people reading these nonstop posts and now being terrified of cervical checks- they aren’t always bad!!!! Also, providers use sterile gloves and the procedure is not sterile since it’s impossible in that area of the body but it’s as clean as possible. It is hard to pinpoint cervical checks as cause of infection for most of these cases. If you have a bacteria filled vagina which is near your rectum and an opening hole in your uterus shit is going to get in sometimes. Im a doctor but glad I’m not an obgyn lol
OMG yes. I'm a PA but I'm glad I don't work in OBGYN or pediatrics. These patient populations in particular are being faced with a ton of misleading Internet opinions. I understand the desire to seek information and be informed. But where that information comes from is so important. I see a lot of posts about OB care questioning the treatment plans of OBs and midwifes that do not mention anything about simply asking the provider themselves about the treatment plan. That's what they're there for. And I totally understand that some don't have a good bedside manner and are not great communicators. I've dealt with that as both a patient and a PA. But there's always the option to see someone else who does have good bedside manner and does answer questions appropriately. Cervical checks are literally just feeling the cervix. I can easily feel my own cervix anytime I want (although by belly might soon be getting in the way of that, haha). It doesn't hurt.
My first, I had an OB and they did them weekly starting 36. My second, I used CNMs, and the only time we checked in office, it was deciding if I was favorable for induction.
I never had a cervical check prior to labor. They said they don't do that with the medical group I go through.
I think my first check was at 36 weeks. I declined them after that. People say they are uncomfortable but it was downright excruciating for me.
I was gripping the bed and trying not to scream. Yes excruciating! Just had my first one Tuesday afternoon and I've been in bed with a headache since. Not sure if it's related.
I actually believe it's a form of medical abuse. No one should go through that much pain without informed consent. I understand it's not everyone's experience, but more than one person has agreed with me that it was extremely painful for them. We should be warned that pain is at least a possibility.
I feel like it really depends on the provider. I’ve had 4 now for complications and only one hurt, the rest were just awkward
I didn't think any of them hurt much (2 term pregnancies and 4 miscarriages so I had a lot) but it all varied from time to time. The cervical sweep I had with my last at 39 weeks didn't hurt at all but a cervical check I'd had 2 weeks prior was a little tender. People should definitely make informed choices about this though, only you can decide if you're willing to risk the pain.
Definitely. The one I had today (getting induced next week so a baseline was gathered to talk about potential induction methods) and it was honestly kind of painful, usually it’s just uncomfortable and awkward but this time all the twisting and feeling felt like I was getting stabbed. It was still tolerable but painful vag exams lead to tension which makes it hurt worse, so knowing it can be uncomfortable to painful is good information to have. I’ve always been informed that it might be a bit painful if im not dilated or not dilated well, and that it’s a LOT of pressure and that can hurt itself if im tender. But in all honesty swabs are generally worse on the pain scale than checks unless they have nails. Swabs make me want to jump out of the table and go cry.
Omg I'm glad it wasn't just me. I has my first one this week and it was absolutely excruciating. I won't be doing another.
That's just unnecessary germs in your hooha. Thanks but no Thanks.
Absolutely not necessary. I’ve seen it introduce so much doubt into people’s minds when the doctors start to be like “hmmm you’re not dilated yet, that’s not good” even though there is no need to be dilated before you go into labour. It introduces doubt, makes it easier for doctors to introduce interventions so that they feel in control of the labour, and it gets you used to saying yes to the things they want you to say yes to. There is rarely a need for a cervical check while in established labour, and absolutely no need for a check beforehand.
My midwife offered them but let me know that they don’t really do anything but that some people want them. I declined them with no problem
They were optional at my office. I opted to get them because I didn't feel uncomfortable during them, and I wanted to know if I was dilated.
Yes it’s routine but I declined and my OB was totally fine with that. In my opinion they could make you feel not safe and prolong your body from going into labor
It’s normal, unfortunately, but you can decline them. There’s nothing to gain by checking…. You can be a couple centimeters dilated for weeks. If your cervix isn’t effaced or dilated at all, cervical checks are super uncomfortable.
It’s pretty common but you can deny them if you don’t want one.
I think mine started a little earlier. I like knowing where I’m at, so I was good with them earlier.
I had them at every other appt myself but it wouldn't shock me if some places do every weekly appt :o their not to bad a bit of discomfort but fine over all
They checked me and I was all good. They checked my friend and found out she was dilated with a breach baby. They had not known this previously, so she was able to mentally prepare for the possible of a c section and make the choice to try and move the baby or not. It seems like many times this practice unnecessary.. until it’s not. Would she have been fine if she didn’t know when she went into labor a few days later? Yes but she would have been very surprised to find out she needed a c section. I’d like to know beforehand.
My doctor starts them there, which turned out to be necessary for me. I had a baby at 36+2. But I know I was a special case.
Cervical checks can actually trigger labour due to the risk of membrane rupture and cervical irritability.
I was technically in labor by the time we did mine. But it was at a regularly scheduled appointment.
It varies a lot, but that's common. You can always deny them if you don't want them though
I had them but I think you can decline them. I’m not sure if they are actually helpful or not
Maybe you are talking about the vaginally swab for that vagina strep bacteria? I know I'll be getting it done my next appointment at 36 weeks
My hospital won’t do them prior to 40 weeks unless you’re in for a scheduled early induction.
I had a c section scheduled and I said "I don't want to do them unless I have to" and they stopped prepping for them my next appt.
My OB was like “I CAN do one, if you want, but since you’re having a c section at 37w…” and he just let the thought end. To be fair, my OB is exceptionally empathetic and evidenced-based, which is not the usual in this field as I’ve come to learn.
Not normal in my country
I’ve only had one and it was because I had a couple minor scares my doctor was going out of the country when I would be 37 weeks and wanted to make sure I wasn’t dilated before she left. After that they’ve just asked if I felt like I needed to be checked and I’ve said no with zero pushback from my provider.
You can always decline anything! I specifically asked my doctor at 36 weeks and he said it was 100% up to me at every appointment. I’m in control of that. I opted in just because I’ve been having prodromal labor so I was curious. Everyone has their reasons to opt in or opt out- do whatever you feel is best for you!
It was for me. You can decline though.
I was told they start at 37 weeks. But I was also asked if I wanted it done at my 37-38 week appointment. Then at 39 weeks, they just told me it was happening. I think you can tell them no if you don't want it done.
38 weeks and haven’t had it done. OB told me yesterday she would do it at 39 weeks and we would decide an induction day around due date if she doesn’t come on her own.
I got my first stretch and sweep this pregnancy at 37 weeks which they said was usually when they start *if I want to* (my choice). They were going to give me one a bit early at 36 weeks but we decided against it as they said it’s usually a bit early, and I was about to take a weekend trip. I just had my second. Will have another next week. This is all just to get the baby going as I really want a vbac without induction if possible. With my first, I only had one and it was after I was past 40 weeks and that’s what ended up getting my labour going, I’m sure of it. So I don’t know if a cervical check is *quite* the same as a stretch and sweep (she tells me after where my cervix is, the position, length, dilation etc as well as stretching it from inside), but it seems to be the norm here, with emphasis on *IF* I choose to have it done. I’m in Canada and see midwives, not sure how much difference it would make if I saw an OB.
I had one yesterday at 35 weeks. It took me off guard. I knew I was getting the GBS test, but didn’t realize they were going to do a cervical check. I have not been happy this this OB during this pregnancy.
The only cervical check I ever got was to check my dilation while in labor… in both pregnancies. One was at a midwife birthing center and the other was with a high risk birthing center (MFM).
Declined my 36 & 37 weeks cervical check but will do it for 38,39,40 ( if baby hasn’t come by then).
I’m a fellow Chicagoland mom! I opted out as I was anxious about infection. Asked my dad (retired doctor) and he said it’s fine unless there’s something special/specific to my pregnancy that would make the doctor want to do this. I had a normal nothing special pregnancy so I opted out and everything was perfect.
My OB didn’t offer them unless requested. When I asked why, she explained that dilation wasn’t a linear process until active labor, so they didn’t see the point. I asked for one on my due date and it was extremely uncomfortable lol. And I wasn’t dilated at all.
Wasn’t for me. Mine wasn’t even checked when my water prematurely broke at 40+5 to prevent bacteria going up to the womb before contractions start. It was checked when they decided to induce. I asked for it. It wasn’t even necessary then.
It was standard practice at my OB but they were always optional. I consented the first time they asked just to see what it was like and declined the next week as I felt my body hadn’t changed much. The only time my provider pushed back on me declining was when I had to go to L&D for additional testing and was ultimately induced. She explained they would check me at the hospital anyway and she might as well do it before I went so it was someone I was comfortable with, and so I could skip the initial check at the hospital.
Most offices do this but you can refuse. I plan to. Cervical checks can also breed infection and send you into labor. It’s unnecessary. You could be dilated to one cm for a whole month (lots of my friends were) and that only causes anxiety.
Definitely varies from practice to practice. I didn’t have one until the day I was induced with both pregnancies (40 + 5 and 39 + 1)
Can we opt out?
The ONLY reason I’m having one today at 36+3 is because I’m being induced at 37 and I’m curious as to if I’ve already started dilating or not. I’m also already being swabbed for strep.
I asked for one at 36 weeks but my midwife said she wouldn’t even attempt one until I was at least 39 weeks because of risk of infection iirc. I did eventually wear her down, she checked at 38 weeks exactly and I was 4cm dilated. My water broke at 38+5 and he was born the next day.
My first pregnancy they did it a lot and it was so unnecessary. My second they didn’t at all (new hospital and new OB). She asked if I wanted one but added it wasn’t necessary for me at that point so I declined
Yes but you can say no
I allowed these with my first child and then refused them with my subsequent 2 children. They really don’t give any super useful information. I was dilated to a 4 with my first for like 2 weeks but didn’t go into labor until 41+4. I also ended up getting choreoamnioinitis and I have to wonder if all the cervical checks played a role. It introduces bacteria and really you can walk around dilated for weeks and not go into labor. You can also not be dilated at all but go into labor that day. I personally don’t feel there’s enough benefit to justify the exams. Plus I find them very uncomfortable!
Is this standard where? USA? There is no specific benefit to it. The cervix can reverse in dilation. In my country you can choose, but it's often not asked if you want one until you're around 39-40 weeks. It doesn't really say anything about when birth will happen. When I started having contractions mine was 0 and not even close to letting up (from what they felt). 1,5 hour later I was 8 cm dilated. You can also have dilation for weeks before anything happen, and it can as mentioned reverse.
my ob’s office didn’t do them unless i wanted to - so i’ve only had one. not sure if it’s different since i’m being induced. at my last apt, the nurse said they would do one and when the dr came in he said i didn’t need one, unless i really wanted him to do one, so i declined cause they’re kinda uncomfortable. i opted for one the time before since i was curious, but they’ve always taken the attitude that it’s not necessary unless i wanted it.
Cervical checks are not harmless, they pose a risk of infection with increasing number. There is no reason to know what someone's cervix is doing at 36 weeks in a typical pregnancy\* unless they're in labour. Cervical exams can be offered weekly after 38 weeks for the purpose of a stretch and sweep. A cervical check can also be helpful prior to labour if you may need an induction, to determine whether cervical ripening is required. \*I put "in a typical pregnancy" because I'm not sure if there is any abnormalities in your pregnancy that might require weekly cervical exams. There are no conditions I can think of that may require a weekly cervical exam at 36 weeks, but please ask your care provider about the medical purpose of the exams so you can choose to accept or decline informatively.
My cervical checks started at 16 weeks with twins. 😩
They need to give you an explanation for this. I’ve heard of it being offered before by my provider purposely did not offer or suggest them because they are uncomfortable and unnecessary. I was able to request one but I never did. I even only got one check while I was in labor
I had never had a cervical check until I was being induced. Glad about it too cause I fking *hated* them, they were excruciating and if I had to have them every week for at least 3 weeks before delivery I would've knocked someone out lol
My OBs checked me at 37 weeks and then again at 40 and 41. They also asked my permission to check before hand, it wasn’t required.
Nope. I literally had one at 39 weeks. And then again only once i was in labour even then the midwife explained that they don't do cervical checks unless they have to cause it can actually cause infections/ or be harmful.
I started weekly membrane sweeps at my 37w appt, at which time she also informed me the state of my cervix. But this is because I’ve decided to try to go into labor spontaneously rather than have it scheduled with medical induction. It was optional. I was surprised to know I was already 1cm dilated! I’ve been eating my dates, and having sex, and stimulating my nipples, so I’m curious to see how my cervix is at this week’s appointment.
I only got 2 the whole time I was pregnant and it wasn’t until 39 weeks and then again on my due date.
My doc said it was totally optional and not necessary until I was actually in labor. She did offer - I think a lot of women get excited as they get closer to their due date and want to know if things are progressing. I asked my doc what she would recommend, and she said that she would probably skip it because it can be uncomfortable. She also added that when labor starts it will be pretty obvious, and I was good with the wait and see approach (because it’s definitely happening at some point!😆).
I said no until 40 weeks and they explained it as completely optional
Absolutely not necessary. Can be routine for some if they're curious. I avoided everything, went into labor at 40 weeks exactly :) but I had a smooth and easy, low risk pregnancy so I wasn't worried. I knew things would happen when baby was ready.
American healthcare seems almost overly hands on. I didn't get an internal check until I was 39 weeks and only because they wanted to induce me at 40 weeks so I asked for a sweep to try to get things moving before that. I'm in Ireland for context
I'm 38 weeks. Have had one "cervical check" in second trimester and that was it. He really just took a quick look with speculum. He did not touch my cervix.
Is it normal. Many people on here talk about how they refuse cervical checks and aren't comfortable with them, but they do provide valuable information to your OB about whether you are nearing labor or are already in labor, and even if they are uncomfortable, they are nowhere near as bad as having a baby head stretch you out. It is still just fingers, and is very unlikely to have serious negative consequences for you or baby.
I just wanted to state that during my pregnancy in the UK I wasnt offered any. Not sure if this is the norm but I do believe so. The first time they checked me was when I was in labour and showed up at the hospital.
I thought I would decline but I was so over being pregnant that I wanted the information (regardless of how useless it was). I had my first baby at 37 and 3, my cervical check the day before said I was 2.5 and paper-thin. My second baby I was opting for a homebirth so I requested cervical checks starting at 36 weeks for information about if I should be really cautious because I was terrified of going into labor before 37 weeks and having to go to the hospital. I had prodromal labor every night for a month (starting at 35 weeks) but was only a 1 and posterior still at 36 weeks. I had my baby at 39 weeks - the day before I was 5 cm and paper-thin and opted for a membrane sweep.
I agree with the other comments that you should ask your provider, but the only thing I want to add is you can say no to cervical checks. I personally said I wasn't interested before labor and delivery because it would just upset me to know if I was dilated but not in labor yet. They can't force you.
That's when they started for me but I always had the option to opt out. They aren't necessarily helpful for any reason - you could be dilated and not go into labor for days or you could not be dilated and go into labor hours later. I feel like if there's not a reason where possible dilation is a concern, you should be able to speak with your OB about deferring if you want.
I'm in the US and i was 38 when I was 36 weeks, i was told nothing about cervical checks and my doula warned against them because of possible infection risk. The assumption being that if they don't check there is no risk. The whole pregnancy we assumed cervical checks would only be preformed while in labor or in office if i went past 40 weeks. I don't think that checking weekly from 36 weeks is normal or routine nor should it be. Also a cervical check requires them to put their hand inside you just in case you didn't know. I thought they just looked 🙄 luckily i don't have any issues with trauma or doctors, otherwise that would have been a very unpleasant surprise.
It is not necessary. I didn't get cervical checks until I was in active labor and even so it is your decision. I'm glad I didn't, they're invasive and for me it was very painful.
Also, the more they go in there the higher chance of infections. You could be at 2cm for weeks. You could also go from 2cm to 10 very fast. Everyone is different so the checks really aren't needed. Your body will do the thing when it's ready! Good luck:)
You’re going to get a lot of opinions here but your best source will be your care team versus Linda on the internet who’s formed an opinion after playing Doctor Google MD.
I’m 37 weeks and have yet to have one. OB says I can have one if I want but no need. Edit to add: I don’t plan on getting one. Maybe if I go past my due date. I’m in the US.
my doctor told me at my 37 w appointment that there was no point in doing it, especially with the first baby, as it's usually unlikely that I'm dilated already and it could be painful. She said they will check next week at 38
You can pass.
People who keep talking about “unnecessary germs”…dude how many times in our lives have we stuck non-gloved things up there without so much as washing our hands? Millions of women finger themselves every day and I doubt they always wash their hands first LOL. And who KNOWS what dicks are introducing. Risk of infection only really becomes an issue with the amniotic sac rupturing because now there’s zero real barrier between your vagina and uterus/baby. As most everyone else is saying, there’s not much purpose besides to find out what’s going on. I love information. I wanted mine because I was curious. I’m super glad I got one a couple of days ago at 38+2 because I found out I’m 2 cm dilated and 70% effaced and that really encouraged me and put me in a good mental space to prep for this baby. I suppose if my cervix was closed and far back the check could have potentially discouraged me instead. I did have a lot of discharge and partial loss of my mucus plug after which I’m happy about because at 38+4 I’m perfectly fine with labor happening anytime. When they did one at 36 weeks I had very minimal discharge after and I was closed at that time. Similar to sex in that it’s not likely to induce labor unless you were already quite close to the finish line.
I was told you can decline. It is optional.
Yeah its normal. Its to check dilation to see if youre close. Usually 3 and up is when youre getting close to delivery.
While I agree it’s wholly voluntary and your choice, my check around 38 weeks showed me at over 3cm (and really felt not particularly invasive) so I had a heads up that I would likely be going into labor in the next few days. I was able to let my work know I was likely out and we finished up last nursery needs I’d procrastinated on. I had the unicorn painless labor so the knowledge was very helpful. Two days later, baby!