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Re: 'ripe' cervixFrom: Richard Chudacoff, MD (anonymous@obgyn.net)Sun, 28 Oct 2001 14:54:20 -0600 (CST)
At Sat, 27 Oct 2001, Kristy wrote: > >My doc said he's going to induce me at 38 weeks [I'm in my 35th week >now] if my cervix is ripe. That's because I have contractions every two >minutes and they hurt like the dickens. I can't even function. So far, >cervix is closed and thick. When does a cervix start to "ripen" >usually? Oh, one more question...I was told by an O.B. nurse that >contractions which are only felt in the lower part of the uterus do not >dilate the cervix at all. She said they have to be felt over the entire >surface of the uterus. My entire uterus hardens, but I feel the pain in >the lower part of my uterus because the baby is down in my bones. >Anyway, is she right? If so, why does the cervix only respond to lower >tightening? >Love, Kristy B. Labor is defined as regular uterine contractions that dilate the cervix. You could have lower contractions, upper contractions, lateral contractions and if they dilate the cervix than they dilate the cervix. On the other hand you have regular uterine contractions that do not dilate the cervix, no matter where they are, they're not going to which in labor. By having a ripe cervix, it means that the cervix is soft, thin, and easy to dilate. We use something called Bishop score could determine if the cervix is ripe enough for induction. It is based on cervical length, cervical consistency, cervical dilation, cervical position, and the position of the baby's head. Of Bishop score of over 6 or 7 has a very good chance of succeeding.
-- Richard Chudacoff, MD Chudacoff Obstetrics & Gynecology, PLLC Sugar Land, TX
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