risked out of Wisdom, now what

[Anonymous]

I'm a doula and have worked with WISDOM. They do do internal checks. It just depends on the situation. In my experience, if labor seems to be progressing well, they will not do exams, or may do an initial exam but then no more after that. I've had clients who asked not to be told what their dilation was. I've never had anyone with WISDOM get zero checks -- all have at least had the initial check in triage. But perhaps that's negotiable and it just happened that none of my clients were interested in declining.

Anonymous wrote:Not to sidetrack to much, but the wisdom midwives do internal checks? I told my midwife at the first appointment I didn't want any and she said that's fine as they don't generally do them anyway. Wondering if I should address this again. It was my understanding that they follow the body's signals, not the cervix.

[Anonymous]

Anonymous wrote:I'm a doula and have worked with WISDOM. They do do internal checks. It just depends on the situation. In my experience, if labor seems to be progressing well, they will not do exams, or may do an initial exam but then no more after that. I've had clients who asked not to be told what their dilation was. I've never had anyone with WISDOM get zero checks -- all have at least had the initial check in triage. But perhaps that's negotiable and it just happened that none of my clients were interested in declining.

Anonymous wrote:Not to sidetrack to much, but the wisdom midwives do internal checks? I told my midwife at the first appointment I didn't want any and she said that's fine as they don't generally do them anyway. Wondering if I should address this again. It was my understanding that they follow the body's signals, not the cervix.

What's the point of the check in triage, to see if they should stay at the hospital or something? I mean, what do they think is the point of that check? I find that annoying. Plus, I think the cervical checks I got with my first was literally the most painful part of my entire (drug free) labor.

[Anonymous]

Plus, you'd think they'd actually realize the infection risks vs. the value of any information from those checks is not a good trade off for baby / mom.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I'm a doula and have worked with WISDOM. They do do internal checks. It just depends on the situation. In my experience, if labor seems to be progressing well, they will not do exams, or may do an initial exam but then no more after that. I've had clients who asked not to be told what their dilation was. I've never had anyone with WISDOM get zero checks -- all have at least had the initial check in triage. But perhaps that's negotiable and it just happened that none of my clients were interested in declining.

Anonymous wrote:Not to sidetrack to much, but the wisdom midwives do internal checks? I told my midwife at the first appointment I didn't want any and she said that's fine as they don't generally do them anyway. Wondering if I should address this again. It was my understanding that they follow the body's signals, not the cervix.

What's the point of the check in triage, to see if they should stay at the hospital or something? I mean, what do they think is the point of that check? I find that annoying. Plus, I think the cervical checks I got with my first was literally the most painful part of my entire (drug free) labor.

I was told the triage check was to establish a baseline

[Anonymous]

I don't get this whole "cervix checks increase infection risk" crap. If it's really that risky to stick a gloved hand up there, then none of us should be having any sex in the last trimester. I don't know about you, but I don't routinely sterilize my DH's body parts before such activities.

[Anonymous]

Anonymous wrote:I don't get this whole "cervix checks increase infection risk" crap. If it's really that risky to stick a gloved hand up there, then none of us should be having any sex in the last trimester. I don't know about you, but I don't routinely sterilize my DH's body parts before such activities.

Maybe read up on it a little bit when you don't get something. This is not a crunchy thing - it's scientific fact and doctors absolutely recognize it too, though they don't always adhere. The bacteria is from the vagina getting pushed up into the cervix when it is OPEN and while contractions are taking place, being the normal barrier to the uterus, the bacteria can go right up into the uterus. Cervical mucus exists to wash this bacteria down and out of the vaginal canal, but a cervical exam pushes it right back up. The danger increases even more if your water has broken. Anyway, I hope your husband is not nailing you while you are in labor, in which case my guess is that would be an infection risk, too. It's not his penis or the gloved / clean hand that it is the problem.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I don't get this whole "cervix checks increase infection risk" crap. If it's really that risky to stick a gloved hand up there, then none of us should be having any sex in the last trimester. I don't know about you, but I don't routinely sterilize my DH's body parts before such activities.

Maybe read up on it a little bit when you don't get something. This is not a crunchy thing - it's scientific fact and doctors absolutely recognize it too, though they don't always adhere. The bacteria is from the vagina getting pushed up into the cervix when it is OPEN and while contractions are taking place, being the normal barrier to the uterus, the bacteria can go right up into the uterus. Cervical mucus exists to wash this bacteria down and out of the vaginal canal, but a cervical exam pushes it right back up. The danger increases even more if your water has broken. Anyway, I hope your husband is not nailing you while you are in labor, in which case my guess is that would be an infection risk, too. It's not his penis or the gloved / clean hand that it is the problem.

My husband "nailed me" while I walked around for weeks between 1 and 4 cm dilated (errr, OPEN) before I went into anything resembling labor, in an attempt to get labor to start. Your cervix can be open for many weeks before you actually start labor.

[Anonymous]

I'm the same doula who posted above. WISDOM has a very high threshold for who they will "admit" to the hospital in labor. They prefer that women be in very active labor before being admitted. So in my experience, if it isn't 100% clear that you are in very active labor (for example you are vocalizing loudly with every contraction or pushing already) they will want to do a check. They may do it even if it's very clear that labor is very far along. You'd have to ask. Again, you may be able to decline any or all checks, but I'm not sure.

Anonymous wrote:

Anonymous wrote:I'm a doula and have worked with WISDOM. They do do internal checks. It just depends on the situation. In my experience, if labor seems to be progressing well, they will not do exams, or may do an initial exam but then no more after that. I've had clients who asked not to be told what their dilation was. I've never had anyone with WISDOM get zero checks -- all have at least had the initial check in triage. But perhaps that's negotiable and it just happened that none of my clients were interested in declining.

Anonymous wrote:Not to sidetrack to much, but the wisdom midwives do internal checks? I told my midwife at the first appointment I didn't want any and she said that's fine as they don't generally do them anyway. Wondering if I should address this again. It was my understanding that they follow the body's signals, not the cervix.

What's the point of the check in triage, to see if they should stay at the hospital or something? I mean, what do they think is the point of that check? I find that annoying. Plus, I think the cervical checks I got with my first was literally the most painful part of my entire (drug free) labor.

[Anonymous]

PP, why do you always say WISDOM? like their name isn't obnoxious enough...

[Anonymous]

Anonymous wrote:PP, why do you always say WISDOM? like their name isn't obnoxious enough...

Yeah, I agree... Is it an acronym? Or are you shouting?

[Anonymous]

Anonymous wrote:

Anonymous wrote:PP, why do you always say WISDOM? like their name isn't obnoxious enough...

Yeah, I agree... Is it an acronym? Or are you shouting?

Because that's what the practice is called. E.g.:

The referral list says: "WISDOM Midwifery Referral List"

From the sig file of an email:

WISDOM Midwifery Information Email
The George Washington University
Medical Faculty Associates

[Anonymous]

Anonymous wrote:

Anonymous wrote:PP, why do you always say WISDOM? like their name isn't obnoxious enough...

Yeah, I agree... Is it an acronym? Or are you shouting?

Warring In Support of Delivering Optimal Mothers?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:PP, why do you always say WISDOM? like their name isn't obnoxious enough...

Yeah, I agree... Is it an acronym? Or are you shouting?

Warring In Support of Delivering Optimal Mothers?

Wanting Individuals Solely to Deliver withOut Medication

[Anonymous]

They aren't allowed to call themselves Wisdom anymore. They are the GW Midwives.

[Anonymous]

Anonymous wrote:They aren't allowed to call themselves Wisdom anymore. They are the GW Midwives.

Why not?