What has happened to ‘offering’ testing during pregnancy? A client of mine, 28wks. pregnant, went for her routine hospital visit. We had discussed, just last night, about the GTT (glucose tolerance test). She had no risk factors and decided she would decline the test. It appears she was bullied into it. The midwife told her she “had to have it” and today was the only time they could do it. Liz (not her real name) told me it became all too hard to have an argument and so to keep the peace she swallowed the awful sugar drink, and immediately was sick. All pregnant women please take note! It is not compulsory to have any testing! It is your choice. You are making this decision on behalf of you and your baby. In an ideal world the conversation should go: midwife “it is normal for us to offer you this testing at week 28. Do you know and understand the reasons for this? Would you like any further information? Have you made an informed decision on behalf of you and your baby? Please let me know”! We all know that unfortunately the conversation does not flow in this way. I suggest to you that if you have made a decision NOT to have a particular test, ultrasound, blood test, Strep. B etc. then make sure you have a good one liner to deliver ! “I know about the test and have made an informed decision to decline, thank you”! Keep it short and sweet and remember – NEVER hand over your power.