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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 at 10 cm ...
The mucosa lining the cervical canal is known as the endocervix, [5] and the mucosa covering the ectocervix is known as the exocervix. [6] The cervix has an inner mucosal layer, a thick layer of smooth muscle , and posteriorly the supravaginal portion has a serosal covering consisting of connective tissue and overlying peritoneum .
Partograph. A partogram or partograph is a composite graphical record of key data (maternal and fetal) during labour entered against time on a single sheet of paper. Relevant measurements might include statistics such as cervical dilation, fetal heart rate, duration of labour and vital signs.
Cervical effacement or cervical ripening refers to the thinning and shortening of the cervix. This process occurs during labor to prepare the cervix for dilation to allow the fetus to pass through the vagina. While this is a normal, physiological process that occurs at the later end of pregnancy, it can also be induced through medications and ...
Dilation (or dilatation) and curettage (D&C) refers to the dilation (widening or opening) of the cervix and surgical removal of sections and/or layers of the lining of the uterus and or contents of the uterus such as an unwanted fetus (early abortion before 13 weeks), remains of a non-viable fetus, retained placenta after birth or abortion as well as any abnormal tissue which may be in the ...
[8] [9] Preparation may also reduce the rare complications of uterine perforation and cervical injury. [8] [10] Options for cervical preparation prior to the abortion procedure include osmotic dilators and pharmacologic agents. Osmotic dilators produce wide cervical dilation in a predictable fashion and are generally used in more advanced ...
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.
Over time, the osmotic dilator absorbs fluid and swells to 3-4 times the initial diameter. [9] Most of the increase in size occurs within 6 hours after the dilator are placed in the cervix, though further expansion will continue over 12–24 hours. [7] The number of osmotic dilators placed depends on the degree of cervical dilation that is sought.