Abby Block, CM, LM, IBCLC, LCCE

Midwife & Lactation Consultant

birth center brooklyn

Vaginal Exams: Pregnancy & Labor

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Are vaginal exams (also called pelvic exams, or cervical checks) necessary during pregnancy and labor? They can certainly be helpful at specific times, such as for being admitted to the hospital or birthing center when you're in labor, if you've gone past your due date, if an induction is needed, if there is a concern about labor progress, or perhaps a question of the baby's position during labor. What about checks during pregnancy, or during labor - when everything seems to be progressing normally, and the mother is fine and the baby is fine? This is your choice to make, based on the pros and cons, your care provider's recommendation, and your feelings, opinions, and intuition. More information on vaginal exams is below, from a few different sources. Read, be informed, and decide for yourself - based on you, not anyone else.

Evidence on Cervical Checks at the End of Pregnancy

Pelvic Exams Near Term: Benefit or Risk?

Vaginal Examinations: A Symptom of a Cervical-centric Birth Culture

Ina May Gaskin, by Timeline

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This past fall I had the incredible opportunity to study at The Farm, the community where Ina May Gaskin and the Farm Midwives made their home, birthed they children, and their names as pioneers in the modern day American natural birth movement, delivering thousands of babies. All around the world, for centuries, women had been giving birth at home and naturally. By the time many of these midwives had come to have children, the maternal care system had become overly medicalized and severely limiting women's choices. Ina May Gaskin and the Farm Midwives gave women another safe option, and I am so grateful for their bravery, courage, and hard work in paving the way for women to have options in childbirth today. Check out the video below to learn more.

https://www.youtube.com/watch?v=y_qqxilWcb0