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The pain experienced during dilation is similar to that of menstruation (although markedly more intense), as period pains are thought to be due to the passing of endometrium through the cervix. Most of the pain during labor is caused by the uterus contracting to dilate the cervix.
The pain can manifest in several ways, per OWH: very painful menstrual cramps, chronic pain in the lower back and pelvis, pain during or after sex, intestinal pain, and pain when you poop or pee.
Osmotic dilators are most commonly used to slowly dilate and soften the cervix prior to surgical abortion, a process referred to as cervical preparation. Adequate cervical preparation is important prior to surgical abortions because it helps to prevent complications of dilation and evacuation (D&E), such as laceration of the cervix. [ 5 ]
Other treatments target the underlying cause of the hematometra; for example, a hysteroscopy may be required to resect adhesions that have developed following a previous surgery. [1] If the cause of the hematometra is unclear, a biopsy of endometrial tissue can be taken to test for the presence of a neoplasm (cancer). [ 5 ]
The latent stage, when the cervix is dilated less than 3–5 cm along with regular contractions, can last as long as 20 hours without being considered prolonged. The active stage, when regular contractions are accompanied with dilation greater than 3–5 cm, can also be significantly long, with anything less than 11.7 hours being considered ...
Hegar dilators are used to induce cervical dilation in order to gain entry to the interior of the uterus. During the process of dilation, the cervix may have to be stabilized with a tenaculum , and then the dilators are slowly entered into the cervical canal with a lubricant, starting with a thin, low Hegar number rod and progressing gradually ...
Dilation and evacuation can be offered for the management of second trimester miscarriage if skilled providers are available. [6] Some women choose D&E over labor induction for a second trimester loss because it can be a scheduled surgical procedure, offering predictability over labor induction, or because they find it emotionally easier than undergoing labor and delivery.
Although there is no specific medical treatment for Braxton Hicks contractions, some alleviating factors include: [1] [3] Adequate hydration; Drinking warm milk, herbal tea, or having a small meal; Urination to empty a full bladder; Rhythmic breathing; Lying down on the left side; A mild change in movement or activity level