Examining the reproductive organs physically is known as a pelvic exam. The purpose of a pelvic exam is to check for any abnormalities in the pelvic region. A pelvic exam is also an important part of pregnancy because it helps assess the health of both the mother and baby from an early stage. Let us look at the role of the pelvic exam during pregnancy and the importance of doing it.
Why is a pelvic exam done during pregnancy?
A pelvic exam is done during pregnancy to assess the health of the mother’s reproductive organs. This supports a healthy pregnancy. In a pelvic exam during pregnancy, the doctor examines the cervix, uterus, and vagina for any abnormalities that could affect the pregnancy or delivery. With the help of a pelvic exam, doctors can identify any abnormal growth in the uterus and also identify sexually transmitted infections.
The pelvic exam done during the prenatal visit confirms pregnancy and also checks for any unusual growth or infections. Then the pelvic exam is done later in the pregnancy stage, near the due date, to check for effacement or dilation and also check for the baby’s position in the pelvis. Pelvic exams are not conducted at every prenatal appointment, but only if the pregnant woman has symptoms such as bleeding, pain, or unusual vaginal discharge.
When are pelvic exams performed during pregnancy?
During pregnancy, a pelvic exam is normally performed during the first prenatal visit to understand the size of the uterus and check for any infections or abnormalities. During the second trimester, a pelvic exam is usually not needed. However, if the woman experiences any unusual symptoms like vaginal bleeding, pain, or discharge, then a pelvic exam may be conducted. In the third trimester, especially as the due date approaches, a pelvic exam is conducted to assess the thinning or dilation of the uterus and the baby’s position in the pelvis.
How is a pelvic exam carried out during pregnancy?
The bladder is emptied before starting the pelvic examination, and the patient will be asked to undress from the waist down and lie back on an examination table with feet on the stirrups. These are the first steps in a pelvic examination. Once the patient is comfortable, the doctor will start the examination.
Bimanual examination and visual examination are parts of the pelvic examination. Visual examination involves checking the vagina and cervix to identify problems, if any. The bimanual examination involves examining the uterus to identify any issues with the pregnancy.
It is normal to experience mild discomfort during the examination and sometimes light spotting afterwards.
Tools used in the examination
Speculum examination
A speculum is a tool that widens the vaginal wall, which helps the doctor to clearly examine the vagina and cervix.
Bimanual palpation
Bimanual is the usage of both hands in the examination. Using hands helps to understand the size and shape of the uterus. Using hands, it helps evaluate the gestational age and feel for any abnormalities in the reproductive organs.
Digital Cervical Assessment
The doctor feels for the head position of the foetus and checks the dilation.
Are pelvic exams safe during pregnancy?
Yes, pelvic exams are normally considered safe during pregnancy when performed by a healthcare professional. It is done only when it is medically necessary and not otherwise. A common concern regarding pelvic exams during pregnancy is whether the procedure will harm the baby. The procedure will not harm the baby, as it is protected in the uterus by the amniotic sac and the surrounding muscles.
Experiencing mild discomfort or light spotting is normal after a pelvic exam. This is especially more in the case of pregnancy, as the cervix becomes more sensitive during this time. These symptoms do not require medical attention. However, if the bleeding is heavy or the person experiences severe pain or fluid leakage, they should consult a healthcare provider immediately. A pelvic exam during pregnancy is only done when it is necessary. Always discuss with your healthcare provider before getting one.
Can a pelvic exam cause miscarriage?
Another misconception regarding pelvic exams during pregnancy is whether they will lead to a miscarriage. A pelvic exam performed by a trained professional will not increase the chance of miscarriage. During the procedure, the doctor carefully checks the cervix, vagina, and uterus without causing any harm to the baby. After seeing a light spotting or experiencing mild cramping, it is normal for people to panic, especially during pregnancy. But during a pelvic exam, these are normal and need not be worried about. If the pregnant woman experiences heavy bleeding, severe pain, or fluid leakage, then they should immediately seek medical attention. Your doctor will evaluate any complications before deciding to do a pelvic exam, and will only do that if it is necessary.
Conclusion
A pelvic exam during pregnancy helps doctors identify any infections or abnormalities that could affect the pregnancy. It is commonly performed during the first prenatal visit and also in the third trimester, nearing the due date. Pelvic exams are not required at every prenatal visit. However, your healthcare provider may recommend one based on your medical history. A prenatal pelvic exam is done to support a healthy pregnancy.
FAQ
Pelvic exams during pregnancy can make you feel slight discomfort as the cervix is very sensitive during this time. This discomfort is normal in pelvic exams and need not be worried about.
Typically, you get a pelvic exam at the first prenatal visit during pregnancy, and not during every prenatal appointment. If there had been any previous gynecological conditions, then the doctor may conduct the pelvic exam on every visit.
No, a pelvic exam is not mandatory during pregnancy, and expecting mothers can request other options.
Yes, experiencing light spotting is normal after a pelvic exam.
