Posted by My OB said WHAT?!?.
Posted by My OB said WHAT?!?.
“…And Now I’m Stripping Your Membranes.”
“…And now I’m stripping your membranes.” – OB in response to mother’s statement that she was feeling pain during a 40 week appointment cervical exam.
my hospital midwife with my 2nd two mentioned that she’d given me a “good little sweep” and then would tell me my dilation/effacement etc… for some reason it didn’t ever dawn on me until i was far into my pregnancy with #4 and with an independent midwife prepping for our 1st home birth that she had been stripping my membranes! my 2nd and 3rd babies were born within 24 hrs of her doing this #2 was born 3 weeks “early” and #3 was born 2 weeks “early”.
looking back i am sure that it was all in the name of “hospital approved” VBACing rules but she did it in such a way that we wouldn’t catch on immediately… we had done our research and thought we were in a “safe” place for our VBACs and while i am thankful for the births i had those babies were NOT ready!!! #1 started labor at 41+1 (long story – ended up a crash c-section) and #4 was born at 41+3 at home.
stripping membranes is not ok to me really at all but without consent it is absolutely not OK!!! leave the mommas and babies alone!!!
ugh! this one really struck a chord with me, lol!
the differences between my “early” babies and my “late” babies
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This happened to me too. This CNM’s cervical checks always hurt and made me bleed (which is not normal for me when my practitioner is gentle), but this one hurt a LOT. She told me afterward what she had done. And then did the same thing at my next appointment, after I went over my birth plan with her prior to these appts that I wanted INFORMED CONSENT. I had TOLD her I wanted to be informed and she didn’t even warn me, much less ask my permission. And when she talked me into a probably not necessary induction she didn’t tell me about the risks of pitocin or cytotec, both of which were used on me. She also tried to break my water without my consent.
This makes me angry. I’m so sorry, OP.
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The Deranged Housewife Reply:
June 15th, 2011 at 5:51 am (Quote)
Your experiences with a midwife are so sad – she is a disgrace to her profession.
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Nicole Reply:
June 15th, 2011 at 6:37 am (Quote)
She’s not a bad PERSON. I have forgiven her for the things she did to me. But she was very clinical and she assumed that because I could speak intelligently about a lot of pregnancy and birth related topics that I knew the risks. I honestly don’t think it seemed like a big deal to her at all to strip my membranes without consent. I don’t think she thought twice about continuing a painful exam I cried and begged her to stop. She didn’t deliberately hurt me, but I would never go back to her. I have written her a letter about all these things. I never heard back, so I hope she read it.
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C.Pratt Reply:
June 15th, 2011 at 2:35 pm (Quote)
She continued to do something not necessary even after you cried and begged her to stop? Sounds like a bad person to me.
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Jane Reply:
June 15th, 2011 at 2:56 pm (Quote)
Someone who ignores your request for informed consent and doesn’t consider it a big deal to hurt someone who’s crying and begging her to stop is not, in fact, a nice person.
Nice people inform in advance, ask permission, check how things are going, and stop when asked.
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i had a membrane sweep done due to being post-dates according to the hospital – i disagreed i was post-dates but what i had read said that a sweep is gentle and won’t do anything unless you’re ready to go into labour anyway. i agreed to a check and to the sweep on condition i was already dilating. the CNM hardly had her hand up there when she said ‘and now doing the sweep’ i thought she’d inform me of my dilation first and i wasn’t prepared, also i hadn’t realised how much it was going to hurt and i felt really bad for half an hour afterwards. when my waters broke that evening they were meconium stained, so i had to transfer from birth centre to labour ward, and though i held out overnight i eventually consented to pitocin and then ended up with an epidural and ventouse. and by then i was just happy to have avoided a c-section. and when my little boy arrived he was quite clearly *not* post-dates (midwife in maternity ward agreed). i actually wonder if the sweep upset him and caused the meconium. i don’t know, but i would not do it again, i found it aggressive and definitely something women should be carefully informed about. i’m very sorry this happened to the OP.
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Details Reply:
June 15th, 2011 at 6:00 am (Quote)
I went through the sweep without warning let alone permission, water breaking that night, no significant contractions until they started the pitocin, the a c-section for FTP. I highly recommend NO VAGINAL EXAMS before your water breaks – don’t even take your pants off policy!
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Nicole Reply:
June 15th, 2011 at 6:43 am (Quote)
This is pretty much my policy. I did consent to three checks, one prenatally (to make sure that if I was having twins the first one was head down) , one during active labor (to make sure I really was in labor. Had been having contractions all day, but didn’t feel like it was real… was 9 cm lol) and one right before pushing (I wanted to know if the baby was still high and needed reassurance that it would end soon). But this was by a midwife who TOTALLY respected my wishes. She didn’t even need me to “assume the position”, she checked me in whatever position felt comfortable for me, and even laid on the floor behind me to check when I was kneeling. I have pictures of that and I cherish them lol.
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I personally don’t have a problem with stretch and sweeps *IF* they are used the same way other medical intervention should be, on an as needed basis with informed consent.
My husband and I have talked at lengths about what we are ok with, and we both agreed that a stretch and sweep is something we would be comfortable with if I go post-dates with this baby. As of right now, 38wks, I haven’t taken my pants off with my midwife because there’s been no need, and I hope to deliver without her ever needing to check me.
That being said I do *NOT* agree with any care providers sticking their hands in there and messing with things without informed consent! I sometimes wonder if they think saying “I’m doing this/going to do this/did this” is informed consent…
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Details Reply:
June 17th, 2011 at 4:34 am (Quote)
Did you know that stripping/sweeping is medically proven to improve outcomes during induction. Two groups: one got pitocin, one got a “strech and sweep” and then pitocin. There were fewer c-sections in the “strech and sweep” group. As someone else said, it also works better with a good Bishops score. However, as we have seen here, when done too early it can lead to PROM with no spontanious onset of labor, followed by Pit and a higher incindence of c-section. So even if you get to 41 1/2 weeks and haven’t gone into labor the procedure should be, check dialation, pull your hand out, discuss doing a sweep, if mother agrees then go ahead. But pull your hand out and discuss. None of this I’m deciding for you nonsense!
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Here I am, after being without Internet for about a week, and finding one of my submissions posted! I don’t know that anyone out there will even come back and read this, but I’m going to tell a bit of the story, anyway. I tend towards verbosity, so I apologize. I have learned that telling the story helps me toward healing, and I tell it whenever I get the chance.
This was my first baby (8 weeks with second now), and I was fairly ignorant, though I’d done a good bit of reading. I asked a friend who had the same insurance as me which doctor she went to and she recommended a group practice that she’d had a good experience with. Picked them. Huge mistake #1 (there were a lot of those).
My pregnancy was normal and I received decent care from all the doctors I saw at that practice. I was dilated to a 1 at 39 weeks. I was told when I went to schedule my next appointment that the only doctor who was seeing moms in the office on my due date was also the only doctor I hadn’t seen before, and that because it was my due date I had to see a doctor that day. I went along with it, though I’d have preferred a different doctor on a different day if necessary. Huge mistake #2 — I wasn’t confident enough to speak up.
I had been having semi-regular contractions from about 36 weeks on, but I had always felt that I was going to go to about 41 weeks. At my 40 week appointment, I had to wait for the doctor for about 20 minutes and had 2 or 3 mild contractions during that time. No big deal, that’s what I’d been doing. He finally walked in, said hello, stripped my membranes (during a contraction, I might add), never even explained what that meant (I knew already), and walked out, calling over his shoulder that “We won’t be seeing you again!” I guess he just assumed I’d have the baby? I don’t know.
I was MAD. I’m still MAD two years later. I consider this event to be assault because that’s how it made me feel, even if it might not fit the definition.
They claim that stripping membranes won’t induce labor unless you’re ready — I don’t quite agree with that. I think it will put you in labor if you were close but not quite ready, and that the labor will be more difficult than if it had started on its own.
That night just before bedtime my contractions picked up, about 5 minutes apart. They were intense enough (and I have a hard enough time falling asleep on a normal night) that I was unable to sleep at all that night. By 3am the contractions were 2-3 minutes apart. I stayed home and had my husband help me through them until about 6, when I felt they were intense enough that I must be making progress. Unfortunately, I was at barely more than 1cm and didn’t progress while being monitored. I was sent home with instructions to come back later that day when contractions picked up more, because then I would “definitely be in active labor,” or at least that’s what the L&D nurse said. Hours later when I went back, I still hadn’t progressed at all. This time I was put on pitocin. I had been awake for more than 36 hours at this point and couldn’t take the intensity of the contractions after the pitocin, so I got the epidural (hadn’t wanted it — I wanted a med-free birth) because I decided I was useless and just needed to sleep. Soon, contractions slowed down, so they up-ed the pitocin. And guess what? Baby heart-rate decels. So then they broke my water to do internal monitoring (I had been asleep and woke up when they were in the process of doing this — another example of not getting informed consent). Then they told me they needed to do an amnioinfusion. Then I needed more pitocin…and on and on.
It was sheer luck that my baby was born vaginally. I am so so so grateful for that, but everything else about it was miserable. I was ignorant, uninformed, and entirely too trusting.
Next time, no possible way. I have done my research, I have prepared, and I am working on finding a supportive caregiver (direct-entry midwives are illegal in my state, and while I could go underground, I think it might mess with my head and hurt my labor process to know I was asking someone to do something illegal for me). I have also adopted the no-internal-checks-at-all position.
My experience was no where near as hellish as some women have to go through, and for that I am grateful, but it has been a long healing process for me. I feel terrible that I subjected my son to such a traumatic birth. The events also took quite a toll on him.
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and now i am kicking you in the head.
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Heather Reply:
June 14th, 2011 at 6:25 pm Heather(Quote)
That was my first thought, too
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C.Pratt Reply:
June 14th, 2011 at 11:29 pm C.Pratt(Quote)
LOL Me too
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