How to Cope with Internal Exams During Antenatal Care

Pregnancy is a time of many changes, and it often comes with feelings of excitement and anticipation. However, for some expectant parents, certain aspects of pregnancy care can also bring feelings of anxiety or discomfort. One common concern that can cause significant worry for pregnant individuals is the thought of internal exams by doctors or midwives during antenatal care.

Internal exams, also known as pelvic or vaginal exams, are a routine part of pregnancy care, particularly during the later stages of pregnancy and labour. However, these exams can feel intrusive or uncomfortable for some, leading to feelings of distress. If you’re worried that you might not be able to cope with internal exams, rest assured that you’re not alone. Many expectant parents share these concerns, and there are ways to navigate this aspect of pregnancy with greater comfort and confidence.

In this article, we’ll explore why internal exams are conducted, what they involve, and, most importantly, how you can cope with them. We will also discuss how antenatal support, including antenatal yoga, prenatal massage, and antenatal education, can help you manage your anxiety around medical exams.

Understanding Internal Exams During Antenatal Care

Internal exams are typically performed to monitor the progress of your pregnancy and assess the health of both you and your baby. They are often conducted by healthcare professionals such as doctors or midwives during antenatal appointments and in labour to check the cervix’s dilation and position, as well as to assess the baby’s position in the womb.

When Do Internal Exams Occur?

Internal exams may take place during the following times in pregnancy:

Early Pregnancy: In some cases, internal exams may be done in the early stages of pregnancy to confirm the pregnancy or assess the cervix’s condition, particularly if there are concerns such as spotting or cramping.

Late Pregnancy: Closer to your due date, internal exams may be performed to check the cervix’s readiness for labour, including dilation and effacement (thinning). This is often done at routine antenatal checkups.

During Labour: Internal exams are commonly used to monitor the progress of labour. Your healthcare provider may check how much the cervix has dilated and how far the baby has descended into the birth canal.

While these exams serve an important role in pregnancy care, it’s completely natural to feel apprehensive about them. Some individuals may feel vulnerable or uncomfortable, especially if they’ve had previous negative experiences with medical exams or have a history of trauma. If you’re struggling with the thought of these exams, there are steps you can take to make them more manageable.

Why You Might Struggle with Internal Exams

If the idea of internal exams makes you anxious, it’s important to explore the reasons behind your discomfort. This can help you identify coping strategies that work best for you. Common reasons for feeling uneasy about internal exams include:

Fear of Pain or Discomfort: The thought of physical discomfort during an internal exam can be daunting, especially if you have a low tolerance for pain or have experienced painful exams in the past.

Feeling of Vulnerability: Internal exams can make you feel exposed or out of control, which can be especially difficult if you’re someone who values personal privacy or has experienced trauma in the past.

Anxiety About Pregnancy and Labour: Pregnancy and childbirth can bring about many unknowns, and internal exams might heighten feelings of anxiety about your body or the birthing process.

Previous Medical Trauma or Abuse: For individuals with a history of medical trauma or abuse, internal exams can trigger distressing memories or feelings of helplessness.

If any of these reasons resonate with you, know that your feelings are valid. There are ways to advocate for yourself during pregnancy care and work with your healthcare provider to ensure you feel as comfortable as possible during exams.

Coping Strategies for Internal Exams During Pregnancy

While internal exams are a standard part of pregnancy care, there are several strategies you can use to manage your anxiety and discomfort. Remember, you have the right to voice your concerns and work with your healthcare team to make exams as manageable as possible.

1. Communicate Openly with Your Healthcare Provider

One of the most important steps you can take is to communicate openly with your healthcare provider about your concerns. Discuss your fears and discomforts before any internal exam, and ask your doctor or midwife to explain exactly what the exam will involve. Knowing what to expect can help reduce anxiety. You can also ask if there are alternative methods for monitoring your pregnancy, particularly if the internal exam is not absolutely necessary.

It’s also a good idea to bring up any past experiences that may make internal exams difficult for you, such as trauma or negative medical encounters. Your healthcare provider can work with you to create a plan that addresses your concerns and makes you feel more at ease.

2. Ask for Modifications to the Exam Process

You are entitled to request modifications to the exam process to make it more comfortable for you. For example, you can ask for:

A female healthcare provider, if that makes you more comfortable.

A slower and more gentle approach to the exam.

Time to relax and breathe before and during the exam.

A support person (such as your partner) to be with you during the exam.

The exam to be paused if you feel overwhelmed or need a break.

Remember, you have the right to take control of your pregnancy care experience. If you need more time or reassurance, speak up. Your comfort should always be a priority.

3. Relaxation Techniques for Pregnancy

Relaxation techniques can be incredibly helpful in managing anxiety about internal exams. Practices such as antenatal yoga, prenatal yoga, and relaxation during pregnancy can help you stay calm, centred, and more in tune with your body. These techniques can be especially useful if you find yourself tense or anxious during medical exams.

Yoga during pregnancy helps with relaxation and can also improve flexibility and muscle control, which can make internal exams feel less invasive. Many pregnancy yoga classes include breathing exercises and meditation, which are beneficial for reducing anxiety during antenatal appointments.

In addition to yoga, prenatal massage can help relieve tension in the body and promote relaxation. The benefits of massage for pregnancy include reduced stress, improved circulation, and relief from muscle pain. Scheduling a prenatal massage before an internal exam can help you feel more relaxed and at ease with the process.

4. Attend Antenatal Classes for Emotional Support

Antenatal classes near me can provide not only education but also emotional support. These classes are designed to help expectant parents feel more informed and empowered about pregnancy, labour, and birth. Attending antenatal classes can help you build confidence in your body’s abilities and give you practical tools to manage anxiety during exams or labour.

Additionally, antenatal education often includes discussions around pain management, coping techniques, and how to advocate for yourself in medical settings. Learning about your options can make internal exams feel less overwhelming and help you feel more in control.

5. Focus on Self-Care and Mental Wellbeing

Self-care is an important part of managing anxiety during pregnancy. Taking time to care for your mental and physical health can reduce overall stress and help you cope with specific challenges, such as internal exams.

Incorporate self-care practices into your routine, such as gentle exercise, antenatal fitness, mindfulness meditation, or journaling about your feelings. Talking to a mental health professional or a counsellor who specialises in pregnancy or trauma can also be helpful if you’re struggling with deeper emotional challenges related to internal exams.

What If I Still Can’t Cope with Internal Exams?

If you feel that internal exams are too distressing, even after trying various coping strategies, it’s essential to communicate this to your healthcare provider. They can offer alternative approaches, such as external monitoring (e.g., using ultrasound or palpation) for certain checkups, and can minimise the number of internal exams you undergo during pregnancy.

In some cases, individuals with severe anxiety or trauma-related concerns may benefit from working with a specialist, such as a mental health therapist who focuses on pregnancy-related anxiety or a pelvic floor therapist. These professionals can offer additional tools and support for managing discomfort related to medical exams.

Conclusion: You Have Control Over Your Pregnancy Care

Feeling anxious about internal exams during antenatal care is common, and it’s okay to express these concerns. By communicating openly with your healthcare provider, practising relaxation techniques such as antenatal yoga and prenatal massage, and seeking out antenatal education, you can take steps to manage your anxiety and feel more empowered during pregnancy.

Remember, you have the right to advocate for your comfort and wellbeing during every stage of your pregnancy journey. Whether it’s asking for modifications during an exam or requesting additional support, you are in control of your care. Working with your healthcare team, attending antenatal classes, and prioritising self-care will help ensure that you feel prepared and supported as you navigate your pregnancy and prepare for childbirth.