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Internal Cephalic Version has always been a favorite of mine as well as natural perineal tears.
I’ve recently become more interested in childbirth and delivery. From a total medfet fantasy perspective, of course - and for an absolutely delicious plot I’m working on now which I think will be a lovely crossover of medfet and birth fetish!
Anyway, one elaboration I always found ripe for fetishistic exploitation was episiotomy and the subsequent repair. But you answered a question about this some months back where you said:
“I'm all for horrendously painful internal procedures because of how rough the stretching is or how sensitive said areas are…”
And then explained why you thought the episiotomy was a step too far. Fair enough!
But then I’m curious… what “horrendously painful internal procedures” do you have in mind? Short of the actual painful delivery, contractions, ring of fire and all that, I’m not aware of much else.
Educate me? Please?
hoo boy there's quite a list. from prenatal to delivery, of varying degrees of invasiveness and pain:
amniocentesis: done for higher-risk pregnancy. involves inserting a long needle through the belly to extract amniotic fluid and check the baby's DNA. apart from the pain of the needle itself, the uterus can sometimes cramp up violently in response. I also hear that the needle piercing the skin and piercing the uterus are two separate jabs of pain, which adds some layers and uncertainty to the procedure.
membrane sweep: used in pre or early labor before waters have broken. stick two fingers all the way up mom's vagina and through her cervix and rotate fingers along the inside of the cervix. supposedly separating the amniotic sac from the cervix with the fingers can help labor progress. pretty universally reported as already very uncomfortable but if the cervix is high and the doctor needs to really reach in, this can be extremely painful for some unlucky moms. some squirm, some scream through it.
stretching the cervix: sometimes done alongside a membrane sweep. pretty straightforward, just the doctor using their fingers to pull the cervix open a bit. can boost mom by a cm or two. but not fun at all.
ECV: external cephalic version. not internal but one of my favorites. baby is still breech right before the due date? how about turning the baby by pushing on the belly? doctor's rough hands gripping and twisting mom's sore belly until the baby starts turning, grating against her ribs, stretching her uterus sideways before hopefully dropping down into a correct position. maybe it'll take several tries. maybe it won't work. but it's rough going for all involved either way.
Foley balloon: used on a cervix that won't dilate near the due date. a balloon is jammed up into the cervix where it'll stay until the cervix dilates. I say jammed because it's deliberately thick enough that it can be held in place by a tight cervix so needs some force to go in properly. it naturally falls out after dilation. certainly not fun to get inserted, especially while contracting.
amniotomy: now getting into things that can be done late in labor, in this case usually before or early labor but can be done right up until right before pushing. breaking the waters with a long hook theoretically shouldn't hurt. but putting fingers in the vagina is always gonna be uncomfortable, let alone with a tool. sometimes the hook snags a bit of very sensitive skin. and sometimes the cervix is too high and not dilated, and the doctor really has to wiggle that hook to get through. or maybe she's already fully dilated, and the last thing she wants is fingers and a hook prodding where the pain and pressure is already unbearable.
cervical lip: sometimes a last bit of cervix stays around the baby's head and can't fully dilate because the baby is already pressing down. mom can change positions to try and wiggle it around, or maybe her cervix needs some physical encouragement. put her in stirrups and wait for a contraction. then press on the pinched, stuck cervix while asking her to push until it budges. might take a few tries, and mom's gonna have a hard time pushing effectively if it hurts too much. which it very much may.
fundal pressure: also not internal but quite intense either way. just putting an arm on mom's hard, contracting belly during delivery and pressing down hard to help her push.
assisted delivery: a vacuum or forceps that attach to a baby's head to help it crown. usually done under anesthetic but not always the case for some unlucky mothers. getting that suction cup or forceps into the already stretched, sore vagina is the first step. then you have to pull hard to get the baby out. not pleasant.
INTERNAL cephalic version: baby turned breech at the last minute? or one twin is breech after the first one is out? fully dilated and no time to change positions or rotate externally? reach the whole hand all the way up mom's vagina, and turn the baby that way. it as painful as it sounds.
that's about all that comes to mind right now. sometimes I write some of these, other times I bear in mind that a good old dilation check is often enough to make a girl scream. and there are plenty of them to milk through a labor and delivery.