The Wonder of the Cervix

While it's common to associate the cervix with dilation, there's much more involved as your body prepares for labor. As you near the end of pregnancy and attend more frequent prenatal appointments, your provider will likely offer a cervical check. Keep in mind that you always have the right to accept or decline these checks.

What to Expect from Cervical Checks

If you choose to proceed with a cervical check, here's what to expect. Using a gloved hand and some lubricant, your provider will reach into your vagina to examine your cervix. If your cervix hasn't rotated to the front of your body yet, this may be uncomfortable as the provider reaches further back to locate it.

Cervical Changes: What Happens?

This repositioning from back to front is just one of the many changes your cervix undergoes in preparation for labor. Your provider will assess if your cervix has started to soften, efface (thin/spread), and dilate (stretch). You might hear terms like soft, 30% effaced, and 1cm dilated.

Understanding Effacement and Dilation

As labor approaches, your cervix transitions from feeling firm like the tip of your nose to soft and pliable like your earlobe. Effacement plays a crucial role in labor, often occurring significantly before labor begins. The thinning, or effacement, of the cervix enables dilation to progress. Picture the cervix as a rubber band; it's much easier to stretch a thin one than a thick one. A good visual to return to is a pad of butter thinning and spreading as it melts in a skillet.

The Journey of Labor Progression

Imagine that you are in the throes of labor. You've recently been checked and are 30% effaced and 5cm dilated. After laboring for 4 hours, another check reveals you're 70% effaced and 5/6cm dilated. It's natural to feel discouraged if dilation hasn't advanced much, but remember that the change in effacement is a positive sign! Your cervix is adapting perfectly, making the necessary adjustments to stretch around your baby's head, allowing them to enter the world.

Embracing the Process

Labor is a unique journey for every individual. It's important to embrace each moment, even the challenging ones. Your body is designed for this. Trust in its ability to navigate the path ahead. Each contraction brings you closer to meeting your little one.

The Role of Support

Having a supportive partner or doula can make a significant difference during labor. They can help you stay focused, provide comfort, and remind you of your strength. If you feel overwhelmed, lean on them. Their presence can be a soothing balm during this intense experience.

Staying Informed

Knowledge is power. Understanding the stages of labor and what to expect can help ease anxiety. Consider attending prenatal classes or reading books about childbirth. The more informed you are, the more empowered you'll feel.

Connecting with Your Body

As you approach labor, take time to connect with your body. Practice relaxation techniques, such as deep breathing or visualization. These methods can help you stay calm and centered during labor. Remember, you are capable of handling whatever comes your way.

The Importance of Self-Care

Self-care is crucial during pregnancy and labor. Make sure to take care of your physical and emotional needs. Whether it's a warm bath, a walk in nature, or simply resting, prioritize activities that nourish you. This will help you feel more balanced and prepared for the journey ahead.

Conclusion: Your Unique Journey

Every labor experience is different. Celebrate your journey, no matter how it unfolds. You are strong, capable, and deserving of support. As you prepare for this new chapter, remember that you are not alone. Many have walked this path before you, and you will emerge stronger on the other side.

Bridget Teyler, founder of Built to Birth, speaking about progression in labor.