TW medical trauma and pregnancy

How do you deal with medical trauma and pregnancy. I have medical trauma when it comes to gynecological procedures especially when it comes to my cervix . Im currently pregnant and when I went into my first appt with my midwife, there was some tools that looked like pelvic exam instruments on the table and i felt like I was going to cry she explained to me she wasn’t going to do a Pap smear or anything like that I felt a lot better. It’s weird cause I handle pain well when it’s on my upper part of my body (shots, blood draws etc) but when it has anything to do with my vagina I get extreme anxiety . I am worried about giving birth and not being able to be in control of the situation .