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Should healthy women skip annual pelvic exams?

A controversial recommendation last year by the American College of Physicians, which represents the nation’s internists, strongly urged that doctors stop routinely performing the invasive exam on women without symptoms and who are not pregnant.

‘it behooves consumers to make an informed choice. “Women should not be bullied by their doctors” into having an exam, but should make the decision that best suits their circumstances”

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Does your care provider do routine pelvic exams starting at 36-37 weeks?

“There are some studies that show a link between routine weekly pelvic exams in the last month or so of pregnancy and an increase in rupture of membranes (ROM) that occur well before labor was meant begin, meaning the membranes have ruptured prematurely, (adding a P to ROM, for premature rupture).   The natural onset of labor may be a week or perhaps only days away, but everything is not quite ready, and if effective labor does not begin induction frequently follows.  And when induction fails, as often it will, since the rupture was premature, and the body and the baby are not ready, cesarean is often the outcome.”

Read the risks and benefits in this great article.

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