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This article was co-written by Jennifer Butt, MD. Jennifer Butt is an obstetrician and gynecologist in private practice at an obstetrics and gynecology clinic on the east side of Upper Manhattan, New York City, New York. She is affiliated with Lenox Hill Hospital. She holds a bachelor’s degree in biological research from Rutgers University and a doctor of medicine degree from the Robert Wood Johnson School of Medicine. She then completed a residency in obstetrics and gynecology at Robert Wood Johnson University Hospital. Butt is certified by the American Board of Obstetrics and Gynecology. She is a doctoral student of the American College of Obstetricians and Gynecologists and a member of the American Medical Association.
There are 12 references cited in this article that you can view at the bottom of the page.
This article has been viewed 75,730 times.
The cervix dilates as a woman prepares to go into labor and give birth. The cervix dilates to make way for the baby’s head to go from the uterus to the vagina, and finally into your arms. [1] X Source of Research Your cervix should be from 1 to 10 cm dilated, which is when you can give birth. [2] X Sources of Research In most cases, your doctor, nurse, or midwife will test for dilation, but you may also want to do the dilation test yourself. By palpating the cervix and looking at other signs such as mood and labor sounds, you can see how much the cervix has dilated.
Steps
Prepare for manual cervical examination
- Note that, from the ninth month, the doctor will begin to look for signs that labor is approaching. They will feel the abdomen and do an internal exam to check the cervix. The doctor will determine if the baby has “come down,” meaning the cervix has begun to dilate and become softer.
- Ask them any questions, including whether the baby has come down. You should also ask if it’s safe to do a cervical dilation test yourself. If the pregnancy is safe, you can proceed.
- Use any soap and warm water to wash your hands. Wet hands under running water and apply soap, lather hands together. Scrub vigorously for at least 20 seconds, making sure to scrub all surfaces of your hands. Wash off the soap and then dry your hands completely.
- Use a hand sanitizer that contains at least 60% alcohol if you don’t have soap. Pour into the palm of your hand an amount sufficient for two hands. As with soap, rub your hands together to wet all surfaces, including nails. Continue scrubbing until hands are dry.
- Take off your outfit underneath before you start, so you won’t have to take it off when you’re ready.
- Sit or squat on the toilet with one foot on the floor, the other on the seat. You can also squat on the floor or lie on the bed if that feels more comfortable.
- Remember you have nothing to be ashamed of, because what you are doing is completely normal and natural.
Cervical examination at home
- Remember to wash your hands thoroughly with soap and water before inserting your fingers into the vagina.
- Identify the entrance to the vagina with the tips of your fingers. The back of the hand should be facing the spine and the palm facing up. Tilt your finger toward the anus to feel the cervix most easily. If you feel pain or discomfort, remove your finger.
- You should know that some women have a high cervix, while others have a low cervix. You may have to push your finger quite deep into the vagina or it will be quite quick. Basically, the cervix is the “terminal” of the vagina no matter where it is located in the body. [7] X Research Sources
- Touch gently to find the cervix. Pressing or poking with your fingers can cause bleeding. [8] X Research Sources
- A finger can slide easily into the midpoint of the cervix if it is dilated. At the center of the cervix you can feel the amniotic sac surrounding the baby’s head. You will feel like touching a rubber ball filled with water. [9] X Research Source
- Remember: if you can slide a finger into the midpoint of the cervix, the dilation is about 1 cm. Similarly, if you can insert five fingers into the cervix, the dilation is 5 cm. As labor progresses, the cervix changes from stretch to elastic. When trying from the bow that has been stretched 5 cm, you will feel like touching the rubber ring on a food can.
- Continue inserting your fingers gently into the vagina until the entire hand is used up or when it feels uncomfortable. Pull out your hand to see how many fingers you’ve used. This will give you an idea of how much the cervix has dilated.
- Tracking contractions also helps you decide if you should go to the hospital. Contractions will become stronger and more frequent. Contractions usually occur every 5 minutes, lasting about 45-60 seconds. [12] X Trusted Source National Health Service (UK) Go to Source
Find more signs of cervical dilation
- 0-4 cm stretch, you don’t make much noise and can talk relatively easily during contraction.
- With a stretch of 4-5 cm, it is difficult or almost impossible for you to talk. The noise can be very light.
- From 5-7 cm, you make louder and uneven noise. You can almost or barely talk during contractions.
- Between 7-10 cm, you make very loud noises and cannot talk during the contraction.
- If you’re a fairly quiet person during labor, you can also have the dilation checked. Have someone ask you questions at the beginning of your contractions. The more difficult the answer, the more cervical dilation.
- Happy and smiling when the stretch is 1-4 cm
- Smile and laugh out loud between contractions when the stretch is 4-6 cm
- Get annoyed with other people’s jokes and have a short chat when the dilation is about 7 cm until birth.
- In the early stages of labor, the purple line is located near the anus. As labor progresses, it crawls up between the buttocks. When the cervix is maximally dilated, this line dilates to the apex of the buttock interstitium.
- Feeling like you want to vomit, your face is red and you feel warm to the touch, indicating that the dilation has reached 5 cm. The body may also shake uncontrollably. If you’re just vomiting, it’s likely due to emotions, hormones, or fatigue.
- If your face is flushed with no other symptoms, then the stretch is 6-7 cm.
- You should know when the body is shaking uncontrollably with no other signs, it is likely due to fatigue or fever.
- If you bend your toes or stand on your toes, the cervical dilation is about 6-8 cm.
- Goosebumps on the buttocks and upper thighs are a clear sign of cervical dilation of about 9-10 cm.
- Unintentional bowel movements are also a sign of complete dilation of the cervix. [19] X Source of Study You can feel the baby’s head at the perineum.
Advice
- Gently and slowly. No sudden movements!
- Wash your hands after examining the cervix.
Warning
- Stop examining the cervix if you experience pain, great discomfort, or spasms from trying to insert your hand into the vagina. In this case, you should leave the cervical examination to a specialist.
This article was co-written by Jennifer Butt, MD. Jennifer Butt is an obstetrician and gynecologist in private practice at an obstetrics and gynecology clinic on the east side of Upper Manhattan, New York City, New York. She is affiliated with Lenox Hill Hospital. She holds a bachelor’s degree in biological research from Rutgers University and a doctor of medicine degree from the Robert Wood Johnson School of Medicine. She then completed a residency in obstetrics and gynecology at Robert Wood Johnson University Hospital. Butt is certified by the American Board of Obstetrics and Gynecology. She is a doctoral student of the American College of Obstetricians and Gynecologists and a member of the American Medical Association.
There are 12 references cited in this article that you can view at the bottom of the page.
This article has been viewed 75,730 times.
The cervix dilates as a woman prepares to go into labor and give birth. The cervix dilates to make way for the baby’s head to go from the uterus to the vagina, and finally into your arms. [1] X Source of Research Your cervix should be from 1 to 10 cm dilated, which is when you can give birth. [2] X Sources of Research In most cases, your doctor, nurse, or midwife will test for dilation, but you may also want to do the dilation test yourself. By palpating the cervix and looking at other signs such as mood and labor sounds, you can see how much the cervix has dilated.
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