Today I went from pleasant patient to difficult PITA patient in one 10-minute grueling visit with my perinatologist. We'll call him Dr. B. 2 weeks ago, when I last saw him, he wanted to do a pap smear. I've had one every year since I was 18 (am now 29) and am well aware of the benefits of regular screening, but am nontheless hesitant to have one done while pregnant. So, 2 weeks ago , I refused the pap and said I would do it later. The nurse copped an instant attitude and told me that I MUST do it without fail at the next appointment. No discussion. I grew up in a family of physicians, so I'm not taken aback by the sometimes brusque attitude of medical personel, but this was different. She was downright shrill and commanding and, what's worse, not at all willing to allow for the remote possibility that I may want to play an active role in the management of my own gynecological health. So, today, I saw Dr. B. He walked in ready to do the Pap and I told him I wanted to wait until the fetuses were viable before having the smear done. The room was silent for a moment. Then, Dr. B started schooling me. Never mind that I already know about the benefits of screening. Never mind that I've been vaccinated (Gardasil). Never mind that I've never had an abnormal Pap in 11 years... I'm OK with physicians educating their patients, but this was "schooling". He was dripping with annoyance and condescending to both me & my husband (neither one of us is a physician, but I am an attorney and my husband is a college professor, so we do --by and large-- understand why screening is important!). At the end of the speech, Dr. B made it a point to tell me that he did not mean to scare me but that he had had a patient who was diagnosed with cervical cancer in pregnancy and refused treatment. She died a year after delivering a healthy baby! When I asked how this story pertained to me, he explained that waiting another 3 months could affect my treatment options if something abnormal was found! He left the exam room in a huff, my husband looked at me and asked "What was that all about?", the nurse saw me outside and gave me "that look".... and now here I am a bit scared and wondering if I am making the most reckless decision of my life. Am I? Has anyone else refused a Pap during pregnancy and did you survive? Has anyone not had a Pap during pregnancy and survived just fine? Am I off my rocker for saying no? Should I just have it done it at the next appointment in 2 weeks? And, if you read this far, thank you, thank you, thank you!