3rd Trimester

An observation. Not a judgment.

This isn't a critique per say, since internals really are a personal decision & some women feel "empowered" by knowing how dilated/effaced they are.  If that's your cup of tea, then awesomesauce.

But just as an observation of the average, those that get internals starting early seem to be the ones that go slightly (or more than slightly) BSC after being full-term, including eviction notices at 37 weeks or rants about their doctors being "douchebags" when they're still pregnant at 39 weeks because BY GOD, they were 2 cm at 36 weeks!

Maybe this is more a friendly PSA that when up against birth & nature, your doctor has the prediction powers of Miss Cleo.

That's all.

 

eta disclaimer:  not all who get internals go bsc.  but there is a slight pattern, especially among those that do not post often.

Re: An observation. Not a judgment.

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  • I was dilated @ my 36 week appointment and I can see myself going crazy @ 39-40 weeks when I'm still pregnant. I should have declined that damn internal...
  • Yes

     

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  • Yes Agreed. My MW won't start them until 38 weeks for this very reason, and even then I will probably decline.
  • I agree.

     This is why I declined an internal on Tuesday. The doc told me Trent is 2/3 of the way down which already threw me into a panic. If I had actual numbers and progress to have in my mind I would be insane.

  • They can also scare you in to oblivion knowing that at 29 weeks you are 1-2 cm! Talk about laying still for another 11 weeks!
  • agreed.

    As much as everyone here would like to go a little early, it is still usually best for the baby to remain "in" for the full 40 weeks. 

    I'm not sure how my OB feels about internals, but they seem to me to just raise a lot of false hopes. 

  • I think knowing too much only leaves room for obsession on every little thing, I feel its better to be left it the dark at the end and let it happen, whenever instead of expecting something!




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  •   That's why I'm declining them until I'm 40 weeks:) 
  • Understandable, I thought most women know that you can be 1-2 cm dialated for weeks.   I went the dr. yesterday and there was a girl there who was 4 cm's and had been stripped.  She still wasn't hopefully that it was going to happen by the weekend.  I'll have an internal just to know, but I'm not expecting to go early. I think it's better for my own sanity to be realistic.
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  • I had my first internal at 37 weeks and since its been nice knowing that I am having progress. I didn't want her to come early but just knowing that my body is progressing naturally in the right direction has been comforting. I don't think I would over analyzed every cramp and tug any less had I not known.
  • I definitely like knowing how much progress I'm making!  I've got an induction scheduled already (excessive amniotic fluid = risk of cord prolapse), and I'm definitely crossing my fingers that he decides to come on his own before then.

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  • I was actually really relieved to learn that my midwife doesnt do internals (unless there is a problem)...Id rather just not know how Im not progressing I guess.
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  • Agree.  My NP didn't do internals except by request until 39+ weeks for this very reason.  You can "stall" at 1-3cm for weeks.  Why stress about it?
  • I rather like that after doing my internal yesterday, my Dr said "You've made good progress but it's not like the numbers really mean anything about how soon you'll go into labor. I could see it being in the next week, maybe. You can try the usual suspects.. spicy food, eggplant parm, get out and walk a lot, sex (if you feel like it at this point)..."

    LOL A balanced dose of hope and non-committal.

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  • I am very glad that my OB and MW have not even offered for this very reason.  I'm curious, but I know how type A and controlling I am and information like that would just drive me crazy.  It's better that I just stay in the dark and try to realize that this is one thing I can't control.  
  • I agree ... aside from the fact that I made my 36 week appointment with one of the male OBs at my clinic and I'm terrified of his huge man hands, I'm prob gonig to decline so I don't freak out that no progress is being made by whatever week.
  • I get them but I'm not one to complain about being done with it. Even with my twins, I went 39 weeks and loved having them inside me cause I knew once they were out, I'd miss feeling them in my belly.

    Note: I didn't know you could opt out of an internal? I thought it was something you had to do.

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  • I get them but I'm not one to complain about being done with it. Even with my twins, I went 39 weeks and loved having them inside me cause I knew once they were out, I'd miss feeling them in my belly.

    Note: I didn't know you could opt out of an internal? I thought it was something you had to do.

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  • imageSaran:

    Note: I didn't know you could opt out of an internal? I thought it was something you had to do.

    yeah, dude.  Easy as pie.  I just told my doctor that unless she found it medically necessary, I did not want an internal.

    She actually thanked me for it.

  • I had to get them because of a history of early issues from DS#1.  It was more of a precautionary thing to see if I needed an U/S to look into things further. 

    To me it's like any other bit of information throughout this whole thing.  I do think it's "funny" when people whine about no progress at 37 weeks or how they were 1cm at 36 weeks and just can't believe they haven't progressed further by 38 or so.  


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  • I like to know any information I can (it also explains some of the gross "symptoms" I have been experiencing).  But I also know that it doesn't mean anything and I would assume that most OBs would also tell you that just because you are 1 or 2 or even 3 cm, it doesn't mean anything.  My doctor always reminds me that you could just "hang out" at 2cm for weeks with no progress. 
  • I really like the way my doctor handles it -- she does the internal but doesn't say anything more than "You're just where you should be for XX weeks."

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  • Yeah I got checked at 36 weeks and not dilated... same with my appointment yesterday at 38 weeks. 

    I was slightly disappointed at my appointment yesterday because I'd been having really nasty menstrual like cramps and just hoped something had come of them... nope!  However, I'm not ready for this baby to come until her due date, so I should probably be happy!  

    Also, part of the reason I got an internal at 36 weeks was I went on a vacation that weekend about 3 hours away - my doctor just wanted to make sure I was reasonably closed before approving the vacation.  Then I was just curious yesterday so I agreed again.  I guess once you start, you want to know every appontment.

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