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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Labour, pain and the speculum

12 replies

button23 · 19/06/2013 13:00

So I'm 6 months pregnant (today!) and I'm feeling fairly okay about labor, I've made the decision to have an epidural, so all I have to do is power through the contractions until that point (I have a feeling that sounds easier than it actually is). Because I'm having an epidural I'm not too worried about the actual pushing the baby out bit in terms of pain, however I am extremely worried about the speculum. I'm assuming when they examine me it'll be before I can have any major pain relief?
I'm not being pathetic but I am unusually small 'down there' (often sex is painful ect.) and I'm really scared about the speculum - of all the things in labor! Can anyone give me any advice/reassurance on this count?
(I'm in the UK if that makes any difference)

OP posts:
sparkle101 · 19/06/2013 13:14

Hi

I too think I'm small down there as sex is sometimes painful too but in labour you really don't care. They didn't use a speculum with me, just old fashioned fingers to check how dilated I was.

I think I probably had everyone's hands in there at some point but you just don't think about it, it's strange. Maybe it was the gas and air. I had epidural as well towards the end, was amazing!

It's like your body just takes over and you know what to do!

Thurlow · 19/06/2013 14:43

If I remember right, it was just fingers, no speculum at any point. I think they put some sort of lubricant on their fingers too? But there was no examination until I was contracting regularly, at which point I was far more bothered by the pain of the contractions than the pain of the in internal exam. They can't examine you frequently anyway as it brings a risk of infection, so you'll probably just get one exam when you get to the hospital, which might already be when you are 4/5cm dilated and can have an epidural straight away, and if not then maybe one a while later to check if you've dilated enough.

LittleBearPad · 19/06/2013 14:44

I was examined with just fingers too. It's a bit uncomfortable but ok.

Jollyb · 19/06/2013 18:04

They don't tend to use speculums when examining during labour - the aim is to assess dilatation and position by feel rather than looking at the cervix.

My first VE during my induction was quite uncomfortable - I used gas and air but all others were absolutely fine.

Thisisfreakingmeout · 20/06/2013 08:29

Hi button thanks for posting this.

I have the same fear about labour/ve. Want to ask the dr if it could be a legitimate worry or if nature will just take its course, but I'm scared of being ridiculous.

Nurse at my smear test commented that she wished there were smaller instruments as it was clearly extra uncomfortable. This has added to my (irrational) fear!

ShinyBabyOfficialNosePicker · 20/06/2013 08:34

I only had a speculum used after the birth so they could see as they stitched me up, and by that point, you definately don't care what's going on down there!

CoolaSchmoola · 20/06/2013 08:43

I have a tilted cervix which makes internals painful and I had the same worries. But although they aren't pleasant there is so much going on that they just sort of happen and you don't really think about it.

I planned for an epidural too but DD had other ideas and I went from 2cm, so too soon for one, to fully dilated, so too late for one, in 20 minutes. But it was ok, as it will be for youk. Just be prepared for things not necessarily going to plan and TRUST your midwife to do what is best for baby AND you.

Norfolknway · 20/06/2013 08:51

They let me have gas and air when they examined me. Made it much easier Grin

learnasyougo · 20/06/2013 09:00

No speculum here, either, just fingers. The midwives (and later obstetrician) were always superbly gentle. The stretch and sweep I had done at 42 weeks was more uncomfortable than any internal examination during labour.

I also had an epidural but it failed to work (well, it made my legs numb from just above the knee and below but did nothing above the thighs) but really, the pain wasn't as bad as I thought it would be. For me, the hammering my bladder and pelvic floor were getting wen I was still in PRE-labour (the worst three hours of the whole thing and I went from 3-4 cm to around 3-4 cm. I was devastated) was far worse. The actual labour I felt ok. You may surprise yourself with how you handle labour. I was in labour for 71 hours and really, it wasn't that bad (excepting those three hours early on, about 40 hours in).

Later, once I was in established labour and had G&A, the pain was ok to deal with. I sort of played a game with it, taking deep breaths until I just short of the peak of a contraction, then relaxing through the peak (no G&A) and then riding down the wave on the other side. It was actually enjoyable, and not at all scary.

Only occasionally would a contraction slip away from me and I'd get a 'bad' one, where I hadn't time it right. Most of the time I was in control.

And G&A is bloody amazing. I had something not unlike an orgasm during labour (not during the pushing stage, which is how I thought this rare event was supposed to happen). I had the same breathing pattern of an O and felt bloody amazing. Funnily enough though, I hated the stuff if I took when I didn't need it (ie not during a big contraction). It felt like being drunk.

Primrose123 · 20/06/2013 09:08

OP I would suggest you talk to your midwife about the epidural. I was under the impression that the epidural lasts until after the baby is born.

However, there is another type. You can have an epidural that wears off before you start to push, so you would feel the baby crowning etc. That was the one the midwife thought I was having, luckily the anaesthetist gave me the long lasting one! The midwife was very cross about this, but I was very relieved.

I'm not sure I explained that correctly, and it was 16 years ago, so things might have changed. I found the epidural wonderful, it worked really well for me, but just check you are having the one that doesn't wear off if you are worried about the pain.

FoofFighter · 20/06/2013 11:02

No speculums here either, but if you are worrying about that (fairly small tbh) piece of equipment then please do remember that having an epidural increases your risk of ventouse or forceps delivery too.

rallytog1 · 20/06/2013 12:38

Gas and air is your friend when it comes to internals. Just refuse to let anyone ferret about down there unless you've had a good few puffs!

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