Although the roof examination performed by gynecologists after the 37th week of pregnancy is the fearful dream of many pregnant women, the manual examination provides ease of learning a lot of information about the mode of delivery. Well, if there is a narrow roof, is it possible to have a normal birth or does the roof examination hurt? How to understand the narrowness of the roof, symptoms of roof tightness! How and when is a roof inspection done during pregnancy?
Since the roof examination performed after the 37th week of pregnancy is applied with slightly different methods, it is a state of concern and anxiety for many expectant mothers. Although it is perceived as a worrying situation, the roof inspection, which is actually a very important control, is very useful in terms of information for those who want to have a normal birth. As a result of this roof examination, which is the best way to understand whether the roof (pelvis) bones are suitable for birth, it is revealed which birth method the expectant mother can do more comfortably. It is not necessary for mothers who are considering a cesarean section directly due to the fear of normal birth to have a roof examination. As a result of the examination, seeing that the roof is narrow does not cause any situation such as inability to give birth in any expectant mother, while it can be observed that cesarean section is preferred instead of normal delivery. The fear of roof inspection, which may arise due to environmental factors, is mostly due to the fact that expectant mothers do not have enough information. Things to know about roof inspection during pregnancy , which is done by taking the appropriate position on the gynecological examination table..
WHAT IS ROOF EXAMINATION? HOW IS THE ROOF INSPECTION DONE?
Gynecological vaginal roof examination after the 37th week in the last trimester of pregnancy will provide information about the current condition of the baby and the mode of delivery. During the roof examination, which is important for recognizing some problems that may be encountered during childbirth and taking precautions for it, the doctor determines the condition of the roof bones with two fingers. During the roof inspection, the underside must be completely removed. The doctor checks the inside of the vagina and the cervix by putting on a glove. In the examination, the vagina is expanded using a speculum instrument. Meanwhile, the doctor examines the inside.
It is important that expectant mothers, who are informed about the narrowness and width of the roof, whether a normal delivery can be performed or not, feel comfortable during this time.
Since the mouth of the uterus will not be open during the roof examination, it is not possible to contact the baby’s head or other organs. If the doctor says that the roof is too narrow for normal delivery, a cesarean is required without even trying. However, it should not be forgotten that the most precise information about the mode of delivery will occur at the time of delivery. Because the cervix will be open at birth and the baby’s condition can be evaluated better.
WHY IS ROOF EXAMINATION DONE DURING PREGNANCY?
Among the rights , the roof examination, also known as ‘bottom examination’ , is performed to check whether the pelvic bones through which the baby will pass are ready for birth. This roof examination in the vagina is important in determining the method by which the expectant mother can give birth, whether the baby is in the birth canal, in which position the baby is standing, whether there is an opening in the cervix with pain and whether there is any infection.
DOES ROOF INSPECTION HATE? IS ROOF EXAMINATION REQUIRED DURING PREGNANCY?
One of the most feared examinations during pregnancy, the roof examination, which is one of the most feared, does not pass painfully. . Since the vagina will be flexible in the last weeks, the vagina can be checked and checked much more easily than non-pregnant women. Roof inspection, which is often absent but sometimes manifests itself with light spotting or bleeding, does not harm either the mother or the baby.
WHEN IS A ROOF EXAMINATION DONE DURING PREGNANCY?
The reason why the roof inspection, which is done in the first and third trimesters, is done in the first months unless necessary; It is caused by looking at whether the cervix is closed enough to hold the baby. If the problem is not seen as a result of some tests, the roof examination is not done again until the 37th week of pregnancy.
After the 37th week, the roof examination to control the opening of the uterus and to determine the mode of delivery may become mandatory in some pregnancies. They are as follows:
If there are risks that trigger preterm birth,
If spotting is observed during pregnancy,
If there are vaginal infections such as genital herpes,
If there is an opening in the pelvic area, roof examination can be repeated.
WHAT DOES IT MEAN? HOW TO KNOW THE TIGHTNESS OF THE ROOF?
If the baby, which will pass between the pelvic bones during delivery, weighs more than 4 kilograms, the roof stenosis examination will be critical. 3 main elements are important for the baby to go out to the outside world very easily. The driving force of the uterus, pelvis, and baby comprise these three elements.
If it is determined that the roof is narrow during the intervention from the bottom and it is determined that the baby’s progress will be difficult, the baby is delivered by cesarean section. Rickets in childhood or any accident or disease that will affect the bones can be effective in the narrowness of the roof.
CAN THOSE WITH NARROW ROOF HAVE NORMAL BIRTH?
Although the recommended delivery method for pregnant women with narrow pelvises is cesarean section, some expectant mothers may insist on normal delivery. In such cases, challenging and risky possibilities should be considered and the healthiest delivery method should be preferred.
ROOF EXAMINATION CANNOT BE DONE IN WHICH PREGNANCY?
Pregnant women who will not give birth normally or expectant mothers as a result of multiple pregnancies such as twins are not required to have a roof inspection.
DOES ROOF INSPECTION TRIGGER A BIRTH?
There is a risk of premature birth in the roof inspection, which does not harm the health of the expectant mother and the baby, so it is not recommended to perform an examination from below before the 37th week.