
09/03/2021
Now I have heard it all!!
Apparently declining vaginal exams is a hypnobirthing thing. A nuisance. And not helpful.
Queue my thoughts on 'being a good girl and compliant for the patriarchal easy life'....
If you are low risk and a healthy mum and baby, whether hypnobirthing or not, it is about your welfare and that of your baby. So where is the good evidence that routine vaginal exams to assess progress are beneficial and not doing more harm than good?
There is none.
Does that mean vaginal exams are bad, no. Can they help clarify a situation if there are other signs that intervention might be necessary, yes.
Can they help tell how well you are progressing? No. They can tell how far you have come but are absolutely not a fair indicator of how much longer you have to go.
For low risk women who have no concerns, routinely examining it on the 4 hour clock is arguably a tick box exercise. If you want to know and feel it would help and understand the effect it might have on the physiological progress of your birth, then that is an informed choice and one you should totally go with. You can have one and decline the rest as the clinical picture changes.
Essentially, it IS your choice and one that you can only make if you are actually informed with risks and benefits, saying yes is not a choice, it just means you don't know any different.