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From that point, pressure from the presenting part (head in vertex births or bottom in breech births), along with uterine contractions, will dilate the cervix to 10 centimeters, which is "complete." Cervical dilation is accompanied by effacement, the thinning of the cervix. General guidelines for cervical dilation: Latent phase: 0–3 centimeters
1–2 cm 3–4 cm 5+cm Dilation is a measure of how open the cervical os is. It is usually the most important indicator of progression through the first stage of labour. Dilation is measured by way of a digital cervical exam with the care providers fingers. Dilation is described using centimetres; closed, 1cm, 2cm, 3cm, etc until fully dilated ...
In the US, the definition of active labour was changed from 3 to 4 cm, to 5 cm of cervical dilation for mothers who had given birth previously, and at 6 cm for those who had not given birth before. [55] This was done in an effort to increase the rates of vaginal delivery. [56]
The latent phase is defined by cervical dilation of 0 to 6 cm. The active phase is defined by cervical dilation of 6 cm to 10 cm. Second stage of labor starts when the cervix is dilated to 10 cm and finishes with the birth of the baby. This stage is characterized by strong contractions and active pushing by the mother.
The concern is that performing the dilation too soon before the surgery could increase the risk of preterm birth should the woman ever carry a subsequent pregnancy to term. [ 18 ] [ 19 ] However, for dilation and evacuation at greater than 20 weeks gestation, at least one day of cervical preparation is recommended, with the option of serial ...
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When subcutaneous tissue is 2 cm thick or more, surgical suture is used. [74] Discouraged practices include manual cervical dilation, any subcutaneous drain, [75] or supplemental oxygen therapy with intent to prevent infection. [74] Caesarean section can be performed with single or double layer suturing of the uterine incision. [76]