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Re: Effacement thanks for the quick answer

From: Ann (anonymous@obgyn.net)
Tue, 31 Oct 2000 14:43:43 -0600 (CST)


Thanks Dr. McIntosh..and ouch by the way....SOUNDS PAINFUL! I am praying for my mother's first baby labor experience which lasted only 45 minutes!

At Tue, 31 Oct 2000, anonymous@obgyn.net wrote: >
>At Tue, 31 Oct 2000, Ann wrote:
>>
>>When I went to the MD yesterday for my 38th week visit, she told me I
>>was 80% effaced and that my cervix had turned around? What does this
>>mean from a timing of baby arrival standpoint? It is my understanding
>>that when I am 100% effaced then I will be pushing? Does this mean I am
>>close? I am only fingertip dilated according to her and that was the
>>same as my last visit. I am a bit panicked to get to far from home
>>alone should this just come on all the sudden. Perhaps I am just overly
>>expectant and I will be waiting and waiting....I know there is no
>>accurate 100% predictor but I am sure confused and curious. Any help
>>would be appreciated.
>
>First thing is to relax if you can. This sounds as if it is your first
>baby, so you are likely to be in labor for several hours before it will
>be time for delivery. Effacement is the thickness of the cervix, and
>dilation is the more important component. You could efface entirely,
>100%, yet still be minimally dilated, and have 20 hours of labor ahead
>of you. As the head comes down, the cervix rotates from pointing
>towards the back of your pelvis to being more in line with the axis of
>your vagina. This means the head is coming down a bit. So, it sounds
>as if you are preparing for labor, and you have done some of the
>preliminary work, but you still have a long way to go. In the end, you
>are going to have to have regular, hard, painful contractions for quite
>some time to deliver your baby.
>
>--
>William D. McIntosh, MD, FACOG
>
>This is for educational purposes only, and is not a substitute for consultation
>with, and examination by, a qualified medical professional.
>
>Due to time and energy constraints, I will be unable to answer any personal
>e-mails. Thank you for your consideration in this matter.
>




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