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nickistar View Drop Down
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    Posted: 01 November 2008 at 10:52pm
hey, just wondering in NZ when is the typical time that you would get checked for dilation/ have an "internal"?(without asking for one) i am 35 weeks and wondering when to expect it!
*also do we get a strep B swab check here? ive read this on international websites but havent heard people talking of this in NZ
thank you!
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Nefertiti View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nefertiti Quote  Post ReplyReply Direct Link To This Post Posted: 01 November 2008 at 11:02pm
Hi nickistar...my last baby was nearly 9 years ago lol, so don't know if things have changed...but from memory I can't say I was 'checked' for dilation. However, I think I remember my midwife saying she would check how soft my cervic was, and I think that was about 2 weeks before I was due... This would probably vary from each person.

In regards to strep B...I was checked at about 8 weeks because I had thrush and a swab was done, showing I was positive. As you probably know this is something that can show up one week but be gone the next. But once shown positive, I will be treated as such throughout, with antibiotics being given at the birth or as soon as waters break. I think it is 'normally' tested at 36 weeks from what I have been told....so I'd say next week for you.

Hope this helps a little
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nickistar View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote nickistar Quote  Post ReplyReply Direct Link To This Post Posted: 01 November 2008 at 11:06pm
thnk you! gives me an idea..... im a first timer and yet to have any checks etc and feeling a bit cautious about them but know they have to be done, knowing around next week gives me a little time to prepare lol
thanks for your reply!
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Nefertiti View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nefertiti Quote  Post ReplyReply Direct Link To This Post Posted: 01 November 2008 at 11:21pm
No problem
Its a simple test so nothing to worry about.
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blondy View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote blondy Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 6:45am
I never got checked for dilation until I was actually in labour, and never got a strep B swab. I think alot comes down to your midwife or OB, and for the strep B if you have any predisposing factors? Most midwives tend to be on the less intervention side, so don't be surprised if you don't have either of them!
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kriss View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote kriss Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 6:55am
I asked this at my last MW visit and apparently due to discomfort they tend not to do one until you are in labour, but may vary MW to MW.. GL with your pg


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kriss View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote kriss Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 6:55am
Previous post for internal, not sure about strep B sorry


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Nefertiti View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nefertiti Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 7:59am
The strep B swap should be standard now. I have also read that it is supposed to be done around 36-38 weeks in nz literature. It never used to be standard practice but should be now. It is a common flora in women, but if found positive during pregnancy, it can be passed to baby during labour causing a range of problems from breathing difficultes, pheumonia, etc.

And no, I did not have any predisposing factors. I had it tested early because a swab was already going up there! lol

However, a comment about it varying between each medical person......I was told by my doctor who confirmed my pregnancy that I'd be routinely tested around 36 weeks....then first visit with mw said the same. And also with my visit with the antenatal/diabetic team at the hospital said the same...they said regardless of diabetes it is checked now.

Anyway....this is the info I had been given. Being told my 3 different medial professionals that this is a routine check now, regardless of any other factors.
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blondy View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote blondy Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 8:27am
that's interesting to hear nefertiti. i didn't have the diabetes test either (although we did discuss that one). From memory also (although I could be wrong), I don't think any of the July 08 mums had a strep B swab either!

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Post Options Post Options   Thanks (0) Thanks(0)   Quote BerryBliss Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 10:37am
hmm that really interesting about the strep b swab' i was lead to believe that it was an essential and routine test that was carried out with all pregs at 36 or so weeks. I hav had them with all my kids (3) and my first was 9 yrs ago with a mw ( now with a dr) i've already been told when i will hav the test with this preg. I think that even if i wasn't offered this test i would be asking for it to be done as strp b in babies is really dangerous and so preventable. thats just my opinion anyway.


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Post Options Post Options   Thanks (0) Thanks(0)   Quote mummy_becks Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 10:50am

I was swabbed for strep B at my first visit with my MW and regularly through out my pregnancies as I did have it and we needed to make sure if it was staying or going.

Just ask at your next visit that you want it - you can do it yourself.

As for dilation, wasn't done till I was in hosptial with my first (was in for pre eclampsia) and checked everyday (ouch).

My second I was checked the first time at 28 weeks as there was a fear I was going into preterm labour. Then again at 38 weeks and then again once I was in labour.

I was a puree feeder, forward facing, cot sleeping, pram pushing kind of Mum... and my kids survived!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote kebakat Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 11:49am
I did the strep b swab myself.

As for checking my cervix. That wasn't done until I was in established labour and was 5cm dilated then.. no checks leading up to labour
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Chickoin Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 12:19pm
I did the Strep B myself too, somewhere during the 30-37 weeks period, I totally can't remember when!

Haven't had any internals yet and I'm 41wks. I think I am having one tomorrow when we see specialist though.

My mw doesn't like to interfere at all. She said she would usually offer a stretch and sweep at this late stage but since my bubba's STILL not engaged there is no point.
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Rachael21 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Rachael21 Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 12:36pm
The thing with strep b is you can test negative for it at 36 weeks and then have it when you are in labour so thats why not everyone has it.

I only got an internal beofre labour to have a stretch and sweep.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote cuppatea Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 1:21pm
I didn't have any internals until I was at the hospital and even then the mw waited cos the OBS wanted to see me and she said no point everyone poking around down there.

I didn't have the streb b test and not having it this time. Last time I knew nothing about it till people were talking about it post birth so this time I asked (different mw this time) and she said that she also doesn't test for it because of the variation in results from week to week and believes that babies should just be monitored for signs of it regardless. I have heard that you can swab yourself though, I recently did vaginal swab myself to check for infections because of having heaps of braxton hicks and they are easy to do.

With the GD test I also didn't have that last time but did this time. The lady at medlab said that it is now a routine test for all pregnant women whereas before it was only whoever got sent by there mw for it.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote LeahandJoel Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 1:57pm

I had an internal 10 days before joel was born but only cause I was admitted to hosp with high Bp and mild contractions. Then had them again in labour.

Strep B I asked about it first time around and was told about 36 weeks then went into labour and had a cs before that could be done, to be honest completely forgot second time around but mw would have done one if I had asked.

Might pay to ask for one with your mw, not just assume you are getting it done.

On a sad note though, a friend of my sister lost her second baby at 8 days, and it was later confirmed that it was strep B, didn't show with number one as he was prem and given antibiotics which would have killed the bugs. She has gone on to have another and was treated in labour and baby after, and the baby was the biggest healthiest baby she had.


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Nefertiti View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nefertiti Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 2:06pm
I think its a shame that some women have a blaza (sp) view just because a midwife says it doesn't matter because it comes and goes....wouldn't you rather have the simple nonenvasive test just to check? Yes, it may show negative, but then again it could be positive. But its definately worth checking IMO. And as Lisa says, it is dangerous and can kill babies.

As for diabetes, it is also routine to check at around 22-24 weeks. I was tested early due to family history.

If any of you are in doubt about what tests you should be having, just contack the Midwife Council. I have discussed this with a friend of mine who is a midwife and she says that ALL women should be getting checked for strep B and for diabetes.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote xox6Girls1Boyxox Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 2:14pm

Hi

 

RE: strep B I think it does come down to  the MW & or OB, I was found positive with strep B with DD2 in early pregnancy and the same later in pregnancy so I was given antibiotics via IV line, and with DD1 because I was positive when preggers with DD2 they didnt bother testing me and just gave me thru IV when I was in labour with this pregnancy the same is gonna happen, I havent been tested for it but Im gonna have the antibiotics anyway...

 

Checking for dilation: I ask for internals around the 38 wks mark  just to check if my cervix is ripening and effaceing not that it does much for me even if I am ripening coz I still go over due. Im one of those people that still wont go into labour even though Im 5-6cm dialated (thanks to having nice strong braxton hicks contractions), I still have to get a kick start eg: Stretch & sweep. Once my labour does establish then bobs your uncle and Im over and done with in a couple of hours LOL...

Pop over and join us in the Dec 08 board I think your EDD is around the 1st week of Dec?

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Nefertiti View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nefertiti Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 2:30pm
Thats right about not being tested for subsequent pregnancies Mumof72B - because once you have been tested as positive, you are treated that way for the rest of the pregnancy and also further pregnancies.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote xox6Girls1Boyxox Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 3:31pm
Nefertiti, before I had DD2 i'd had 4 daughters proir to her and I was never tested for strep B so I was really shocked when I found out about Strep B I'd had'nt even heard of it until I had DD2 in 2006. I was actually quite annoyed. My other children are 18, 17, 13 & 8 so im not sure if the test even existed way back then but I thank god none of those 4 contracted it, It really is a scary thing to think about..I agree that if your a first time mum that it should be a compulsory test. I never really knew how life threatning StrepB is either...
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