May 2015 Moms

cervix exam question and venting...

So checked into OB triage (l&d) due to contractions coming frequently (2-4min apart on their monitor, monitored for 2 hours) with increasing pressure and intensity (enough to make it hard to breathe at times) and the nurse did a rather ROUGH cervix exam and said I'm 1cm and thinning, the exam HURT bad and immediately I started bleeding a lot. And I mean onto the bed and everything. She told me after the exam "it's normal for people to bleed after". Like, tell me before hand next time? But like heavy enough to be my period and passing clots. Is this normal?

Either way was sent home without even seeing a doctor saying they don't know if it's false labour or early labour and to just keep an eye on it. Oh, and the resident told me that since this is my first pregnancy that counts, I don't know what the pain feels like. First, thanks for basically saying my miscarriage I previously had was invalid and second, just because I'm not shrieking in pain doesn't mean I'm not in pain. Sent home and told to watch for pain even though I already told them I was in pain and had been cramping consistently for a week now.

I'm just not overly happy with the staff. So now still stuck sitting and waiting with no answers while bleeding and feeling a lot more cervix pain than I did first going in! Either way, early labour or false labour would send me home anyways, but what call do they have to send me home without even seeing the doctor on call? They told me he'd be seeing me but then they just sent me home instead.

Vent over :/ frustrated with no answers and feeling a little miffed about being manhandled.

Re: cervix exam question and venting...

  • Wow that was a nasty visit.. Call your hospitals labour ward (not sure if it's different in other countries but I'm in aus and told if I think I could be in labour call them and explain what I am experiencing) explain everything that just happened and ask them what they think you should do.
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  • That was the hospital labour ward that I was at. That's why we went because I was told if my contractions were coming frequently or got more intense to be checked out.

    Makes me not even want to go back :/
  • The resident said that without seeing you? It's common in L&D triage to not see a doctor but it sounds like the resident saw you and talked to you. I know you're upset and it sounds like the nurse was a little rough on the cervix check but this is pretty common practice. I've been to L&D twice and only once did a resident come by and that was to do the ultra sound. Trust me a doctor looked at your monitor strips and chart even if they didn't come in. I hope the bleeding slows/stops soon and good luck!
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  • The resident is a doctor. And probably the only one on call if you head in during the middle of the night and you're not in active labor.
  • That was the hospital labour ward that I was at. That's why we went because I was told if my contractions were coming frequently or got more intense to be checked out.

    Makes me not even want to go back :/

    Ok wow then I have no idea :-/ this is making me worried about the closer I get being a FTM I'm not going to know what the heck is going on
  • scubakate said:

    The resident said that without seeing you? It's common in L&D triage to not see a doctor but it sounds like the resident saw you and talked to you. I know you're upset and it sounds like the nurse was a little rough on the cervix check but this is pretty common practice. I've been to L&D twice and only once did a resident come by and that was to do the ultra sound. Trust me a doctor looked at your monitor strips and chart even if they didn't come in. I hope the bleeding slows/stops soon and good luck!

    Hence why it's more of a vent. Just feel like they just don't give a hoot. They just hooked me up to the monitor, swabbed me, jammed a hand up me and left me there. And didn't check up often. When I had to pee I couldn't even go because I was strapped in and they didn't even come around for me to tell them I needed to pee. The nurses just sat way at the front counter and gossiped. I was there for 5 hours. I didn't get an ultrasound. Likely no need for it.

    The resident wasn't listening to me. I was telling him that I was having pain, I still am now at home. There's no change In anything except I'm still bleeding 7 hours later. And a lot of aching in the pelvis, still frequent contractions that are feeling intense and back pain.

    My last OB apt I was told I was having prelabour symptoms and told to go to OB triage if my contractions became more frequent (they did) and if they became more intense (they did). I did what I was told and basically I don't really feel like I was taken seriously. And just sent home to be told to keep watch still.

    At this point I don't even want to go back, but it's the only dang hospital in this county that has a labour and delivery ward! The next nearest is a long drive away. It's almost tempting if labour wasn't such a complex thing.

    Makes me feel like there's a few red flags for me. They don't seem to listen to what I'm saying to them and seem to just shrug me off. Will they be taking my decisions seriously when it comes to when I do deliver? If I say no epidural are they going to listen or just do it anyways? It makes me really question the trust I should have in them, you know?

    I'm still in pain here at home, but apparently it's not enough. I'm the sort of person who breaks bones and laughs. I've broken my arm and just laughed it off to cope with the pain. So of course I'm not going to be showing as much pain as the average person because I'm just not normal when it comes to that. So by saying that I'm basically not having pain I felt was insulting because I am in pain and just because I'm not crying or whining over it doesn't mean it's not there.


    That's all. And if a rough exam and being ignored and shrugged off is normal, then I'm done with medical care D: (kidding, it's important lol). But either way that should not be normal treatment.
  • bean8213 said:

    The resident is a doctor. And probably the only one on call if you head in during the middle of the night and you're not in active labor.

    There is an OB on call in our OB triage ward. He was there. I was told the nurse would see me first, then the resident, and then the doctor. And I didn't go in the middle of the night, I went at 8:30 pm. It was the nurse who gave me a rough exam. The resident who shrugged me off lol

    I want my regular OB :( she's soooo much better and takes her patients seriously and answers questions, and will tell you straight up what's going on.

    Not just ship you off with an "I don't know."
  • But, is it normal to bleed that heavily after an exam? Just curious as I've never had an exam yet before this.
  • What horrible people! I had and exam and my doctor told me i would have bloody stingy discharges and it happened laster about a day and a half but it was in no way as heavy as a period, it was chunks of discharges with stings or blood, idk i would want to see a doctor if i were you, at least call 1 just to be sure you're not in actual labour, i don't find your nurse very convincing
  • a316ba316b member
    I'd call your ob if they have an emergency line- and say you're still bleeding pretty heavily and what is normal?

    Then when you see your ob next time- I'd complain about your treatment in l&d. I know mine would not stand for treatment like that!
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  • I'm sorry you had that experience, I'd be upset too. It seems to me if you are having such regular, intense contractions then, according to everything they tell us, you should be at the hospital. Good luck!
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  • There's no after hours line for my OB, it has a message on the machine that tells you to go to OB triage for problems, which is where I went. It's like that for my whole area--theyre all the same. There's one on-call OB there each day and it's different each time. My OB could also be on call I just haven't had the luck of having her lol, just for my appointments.

    I asked the nurse about the clots and heavy bleeding, she says it's not normally like that, but didn't look into it further. I didn't get to see the OB at all, the resident sent me home after saying before that that the OB would be seeing me.

    What kills me is that I'm 34 w 5 d. Having labour signs and issues and they brush me off and send me home with an "I don't know" and that's that. So, if I am going into preterm labour, or showing signs I could be, wouldn't it be smart to stop it or something? I feel slightly disappointed in that decision, but what do I know? I was told before 36 weeks at least they'd try to stop labour as it's preterm. I wasn't even given instructions as to whether I need to be on any sort of bedrest or anything.

    My next apt is this wednesday, I'll definitely be having a word with her about this.

    Nothing like being told what to go to the OB triage for and go for it, just to be told "I don't know" and told what to go for again. Feels frustrating. Next time I think I'll be demanding to see the OB and have them do the exam rather than the nurses. She was NOT gentle one bit.

    Still contracting and still a LOT of painful pressure and backache. Still bleeding, though not AS heavy as before. Just not sure anymore what they want me to watch for. Mixed messages :/

    Top it all off, they lost my chart though my OB Apts are all in the same hospital. 3rd time I've been to the triage my entire pregnancy (once for a vasovagal attack, another wasn't pregnancy related but needed to be brought by ambulance for not being able to breathe due to pneumonia so they brought me there first to check on my baby first) and all 3 times they lost my chart.
  • It sounds like you weren't treated very kindly and things weren't explained to you very well at every step of the way. Shame on them, especially for a FTM, this can be very scary and confusing stuff. I wouldn't write them off but I might just wait for a shift change and call back. Hopefully you just got a bad batch of staff.

    I will say nothing you described is out of the ordinary. There is a button you can push to call for assistance like to be unhooked from monitors when you have to pee. Shame on them for not telling you that! Being sent home if you're only dilated to 1 cm is normal, too, even if you're still in pain having contractions. My hospital does that sometimes because they want beds open for women who are further along in labor. They advise to return if it continues, then you'll presumably be further dilated and closer to delivering.

    As for the amount of bleeding... That does sound a little concerning. I would put on a pad if you haven't already and then you have proof of how much you're losing. That's what my hospital asks, "are you bleeding enough to fill a pad in x amount of time?"

    Call back and hope for better staff on the next shift. You can't be too cautious when you're pregnant.
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  • But, is it normal to bleed that heavily after an exam? Just curious as I've never had an exam yet before this.

    I never bled a single time after an exam. Some bleed can be normal. But I agree that if it is imitating a period it is not normal.
  • It sounds like you weren't treated very kindly and things weren't explained to you very well at every step of the way. Shame on them, especially for a FTM, this can be very scary and confusing stuff. I wouldn't write them off but I might just wait for a shift change and call back. Hopefully you just got a bad batch of staff.

    I will say nothing you described is out of the ordinary. There is a button you can push to call for assistance like to be unhooked from monitors when you have to pee. Shame on them for not telling you that! Being sent home if you're only dilated to 1 cm is normal, too, even if you're still in pain having contractions. My hospital does that sometimes because they want beds open for women who are further along in labor. They advise to return if it continues, then you'll presumably be further dilated and closer to delivering.

    As for the amount of bleeding... That does sound a little concerning. I would put on a pad if you haven't already and then you have proof of how much you're losing. That's what my hospital asks, "are you bleeding enough to fill a pad in x amount of time?"

    Call back and hope for better staff on the next shift. You can't be too cautious when you're pregnant.

    Yeah I'm not frustrated that I was sent home for being only 1 cm, I know that's normal. I'm frustrated with the fact that they basically just brushed me off as not having any pain because I wasn't outwardly showing it (maybe next time I'll scream in agony and make a scene over it... not), and that basically leaving me for so long and not checking on me much or really anything.

    I don't wanna ever go back for the night shift again. Nor do I want that nurse again. I said she was hurting me with the exam and she just shoves her hand in farther :( it freaking HURT bad. Like shove off lady, I said it hurt. And they're more concerned over gossiping and ignoring patients. My husband was there with me and he watched this other guy who was there first ask why they weren't being seen and that they were just going to go home because they're not getting anything done for them and the nurses afterwards ignored them and tended to others before them.

    The lady next to me was having horrendous back pain, 3 cm dilated, strong contractions and brutal pain with it. Offered her morphine and sent her home too.

    It really makes me not want to deliver in this place. I'm contacting my doula in a bit and explaining the situation. I just feel like I'm an idiot for doing what they said to do and get treated like I was making a deal out of nothing.

    But it's still continuing, I'm feeling even more pressure and pain in the lower belly, but is it really enough for them to take me seriously? Don't think so.

    I do wish they did explain things better or at least showed a bit more interest in trying to help people. Even if it's fake interest.
  • Oh and yes, have been wearing pads. I've had to change twice. It's not like gushing blood, but it's still period level.

    But no one was concerned there, just shrugged it off and said it would stop and that some people bleed after exams.
  • I would call another Obgyn and get seen if possible --for peace of mind if anything.
  • You should call your OB immediately and report this type of treatment.
    Additionally maybe it is just my hospital and most NYC hospitals but nurses should not be doing interal exams. The resident should be doing the exam and if a resident isn't available wait and ask to be seen my one.
    One of my close friends is a labor and delivery nurse and she said they never never do internals.
    You should not be scared or deterred from going to L&D so you def want to make your OB aware of it. Also any bleeding this late in the game should be reported to your OB
    Sorry for your experience! Don't let anyone devalue anything that is happening in your body now!
  • ladyteach0505ladyteach0505 member
    edited April 2015
    I have had an internal check at L&D from a nurse. It was horribly painful because females seem to suck at being able to examine my tilted cervix. I never saw the doctor and in all of my visits to L&D I've never seen a doctor. It's very frustrating because, while I give props to nurses, sometimes you want to talk to a doctor.

    That said, I don't know where you live but I'd go to my OB and tell them that I had lost faith in the L&D unit and ask what other options you have. I think the way you were treated was very unusual. I've been to L&D for less than you and everyone has always been kind to me- even if they think I'm stupid for coming. They always say "better safe than sorry- come back if you need us". In this day and age I can't believe anyone would be so dismissive of a pregnant woman. It sounds like a lawsuit waiting to happen if something goes wrong.

    If you're in the states maybe you could hire a doula to be your advocate when you deliver. I've heard of some people doing that.
  • I'm so sorry you had this experience. If you feel comfortable, would you update us after your next OB appt? I hope you are able to get some clarity then...(and some better care!)
  • I have had three cervical checks this pregnancy and not after one of them did I even spot. They told me light spotting, a little pink on the toilet paper or panties would be considered normal, not heavy bleeding. All three exams were very uncomfortable and one I would have described as rough but still no spotting. If you are in that much pain and bleeding so heavily still I would call or go back in just to be safe.

     

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  • I do have a doula, she is from farther out of town so I didn't have time to contact her last night in case it was false alarm. I messaged her this morning to update her as well. It definitely makes me feel a little more comforted that I'll have a better voice but it's still stressful knowing this could happen further I get into labour.

    I feel like I've been hit by a truck today and I'm still in some pain, but I don't know if maybe it's the treatment from yesterday. I will be discussing everything with my regular OB and hopefully get some answers from her and I will update this thread after that too.

    I am still bleeding, but it's not as heavy. I feel very crampy (I've been cramping anyways now for 7 days) but a little more than normal--probably normal from the exam.

    I am in Canada and not in an area known for its medical skill. My area is really lacking in good quality doctors. Unfortunately, there's no other options for where to go for delivery but this OB triage.

    It sucks royally. I don't even think we have a birthing centre.
  • Wait for shift change and go back. The overnight crew at my labor and delivery sucks that's what I did and I got all the answers I needed. Btw spotting is normal after a cervical exam. If you have a clot that passes that is larger then a pea you are supposed to go back to l&d
  • That kinda treatment and bleeding is not normal...I've had four cervical exams and each time they've said it's normal to have a bit of spotting but if you have any BRIGHT red blood at ALL go to the hospital immediately....I've never had a nurse treat me like that either...that's absolutely horrible treatment it's not normal...
  • Bmore112 said:

    Wait for shift change and go back. The overnight crew at my labor and delivery sucks that's what I did and I got all the answers I needed. Btw spotting is normal after a cervical exam. If you have a clot that passes that is larger then a pea you are supposed to go back to l&d

    Yeah clot was the size of a quarter and they still shrugged me off. Sorry for tmi.

    I think when I go back, I'm waiting as long as I can if it's in the middle of the night and trying to get the day shift. This is not my first issue with night staff at this hospital, but it's the first time I've had issues in the OB ward.

    The blood started off really bright red immediately after the nurse removed her hand. This morning it is still red but not bright. It was not spotting, it was bleeding.


  • An update:

    It took 3 days for the bleeding to stop.

    My OB said the nurse was really rough but some people tend to be very sensitive if they're not quite in labour yet.

    So kinda disappointing but at least I know to avoid that particular nurse again

    My doula and I also discussed things further today and she's going to help advocate for what I want for labour
  • I have personally never bled when they have checked me so that's crazy and if I was you I would be filing a complaint with the hospital. There is no reason for them to be rude like that and if you let the hospital know they will deal with it appropriately. They should never say things like what was said. The nurses are trained in nursing school how to communicate well and she something like this was your first pregnancy that counts. They know better than that. I would definitely make sure you contact the hospital because that is absolutely ridiculous.
  • Glad to hear you're recovering a bit, and that both your OB and doula had reasonable perspectives!
  • I agree with pp... Report there actions bc they need to addressed. Hope you are feeling better and that things smooth out for you.
  • It was the resident who made the remark about the other pregnancy not counting, not the nurse. Other than the really rough exam, the nurse was polite. The resident ignored everything and didn't seem to want to listen.

    I know my miscarried pregnancy counts. No one can change that :)

    I do feel a bit better after speaking with my OB and doula.
  • You should not be bleeding that heavily.


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