It’s almost showtime. But first your cervix needs to open so that baby can fit through the birth canal.
that work to stretch the cervix open. “As the uterus contracts, it pulls the cervix up slowly and steadily, which results in it opening wider,” she says. Just how painful these contractions are varies from woman to woman.If you have an uncomplicated pregnancy, your doctor or midwife will typically start checking for dilation after the 36-week mark, notes Ellson. You’ll also be examined throughout your labor experience to see how things are progressing.
Since this is a manual exam, it’s technically something that can be done at home. However, checking your own cervix comes with the risk of spreading bacteria to the area, which can cause infections and complications. What’s more, unless you have medical training, it’s hard to know exactly what you’re feeling for.
On the flip side, it’s also normal for the cervix not to be dilated at all before labor. So don’t worry if you’re 40 weeks along and still measuring at 0 centimeters; your body could still be preparing for labor and delivery in other ways. Dilation is just one piece of the puzzle in the laboring process. “Dilation alone doesn’t really mean much until you’re in labor,” says Ellson. “When we do a cervical check, we’re looking at more than dilation.
Having a dilated cervix near the end of pregnancy is usually no cause for concern—your body is just progressing towards the finish line. However, if your cervix starts to dilate too early, it could be a sign of, which could require further evaluation and even hospitalization, according to Williams. There are a variety of reasons the body may go into preterm labor, but if it’s specifically a cervical issue, it may be caught on an ultrasound before any dilation actually begins.
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