Pelvis examination is done in the last weeks of pregnancy
(after 37 weeks) to evaluate the pelvic bones of the mother, that is, the way
of birth. According to this examination, the probability of normal delivery is
evaluated before delivery approaches. Pelvis examination is not required in a
patient who is certain to be delivered by cesarean section. For example, if
there was a previous cesarean section or if the baby's wife is closing the way
of birth or pregnancy like twins, triplets.
How is a
pelvis examination done?
Pelvis examination is carried out at the normal gynecological
examination table and also in the gynecological examination position. The
doctor evaluates the condition of the pelvic bones with two fingers. By
comparing the baby's weight with the narrowness and width of the birthway, it
evaluates whether normal birth is possible. During the examination of the
pelvis in the last weeks of pregnancy, before the birth begins, the head or
other organs of the baby cannot be touched as the cervix is closed.
Pelvic
stenosis:
If the pelvic examination is determined to have pelvic
stenosis, that is, the delivery path is too narrow to allow normal birth,
cesarean surgery is planned before normal delivery is tried. However, this is
not always possible, so the examination of the pelvis may not always determine
the mode of delivery. In this case, normal delivery is tried and more precise
decision can be made with the examinations performed during the progression of
the delivery. Since the cervix is open during childbirth, both the amount and
condition of opening the cervix and the position of the baby's head are
evaluated. For this reason, Pelvis examination during delivery gives clearer
information. However, a pelvic examination performed in the last weeks of
pregnancy before delivery is also necessary to give a preliminary idea and
perhaps to detect the patients who cannot give birth normally without trying a
normal delivery.
Will there
be pain or bleeding during or after pelvic examination?
Pelvis examination is not a painful examination. Since there
is a stretch in the vagina tissue in the last weeks of pregnancy, vaginal
examination can be performed more comfortably than non-pregnant women. Bleeding
usually does not occur at all, sometimes spotting or a small amount of pink,
red bleeding. Even if there is bleeding, pelvic examination has no harm or
risk, on the contrary, it has benefits.
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