You’re likely familiar with some signs indicating that labor is near, like Braxton Hicks contractions and an uptick in urination. However, effacement might be less clear since it’s not something you can directly see or feel. So, let’s delve into what effacement means, how it’s assessed, and more.
What is Cervical Effacement?
Let’s quickly review some anatomy! Your cervix is the narrow passage at the lower end of the uterus that connects the uterine cavity to the vagina. It acts as the barrier between your baby and the outside world. Typically, when not pregnant, your cervix is closed, firm, and elongated—measuring around 3.5 to 4 centimeters. However, as early labor sets in and contractions begin, the cervix starts to thin out, becoming softer and shorter. According to the Mayo Clinic, this process is called effacement.
What Does 70 Percent Effaced Mean?
Effacement is measured in percentages. When you reach 100 percent effaced, your cervix has thinned sufficiently for childbirth. So, if your doctor mentions you are “70 percent effaced,” it means you’re approximately three-quarters of the way ready for delivery.
What About 80 Percent Effaced?
If you’re 80 percent effaced, it indicates you’re nearly there—only 20 percent left to go until you’re fully effaced!
Effacement vs. Dilation
You might wonder why discussions about effacement almost always include dilation. This is because they work together to prepare your cervix for childbirth. Once your cervix softens, it still needs to open, which is what dilation refers to. Effacement is measured in percentages (up to 100), while dilation is described in centimeters (from zero to 10)—with 10 being fully dilated. When you are 100 percent effaced and 10 centimeters dilated, it’s time for your baby to arrive (cue the Price Is Right theme).
Symptoms of Cervical Dilation
If you’re experiencing cervical effacement, dilation usually follows. Paying attention to your body during this time is crucial. Understanding the signs of dilation can help ensure you’re prepared for your baby’s arrival, whether at home or in a hospital setting.
- Lightning Vagina: No, it’s not a superhero! This sensation is sharp pain in the vagina caused by your baby’s head descending into your pelvis, pressing on nerves.
- Backache and Cramping: While pregnancy often comes with aches, intense cramping low in your abdomen (just above your pubic bone) can signal that things are progressing.
What Does Effacement Feel Like?
Effacement itself isn’t typically felt, but some women report experiencing irregular, uncomfortable contractions that are stronger than Braxton Hicks contractions but not yet labor pains. Here are a few signs and symptoms of effacement to look for:
- Loss of Mucus Plug: Throughout pregnancy, your cervix is sealed with mucus. As it begins to efface, this plug may loosen, leading to what’s known as your “show.” If it has a pink tinge, it’s referred to as a “bloody show,” which can occur at different times than the rest of the mucus plug.
- Increased Discharge: As effacement occurs, you may notice a significant increase in vaginal discharge.
- The “Drop”: As the cervix thins, your baby may shift lower into your pelvis, often accompanied by a sense of increased pelvic pressure.
How Long After Effacement Does Labor Start?
There’s no set timeline, as every woman and pregnancy are unique. However, starting in your ninth month, your healthcare provider will monitor signs that could indicate when labor might commence, including checking your cervix for effacement.
While you could check your own cervix for effacement, many women feel more comfortable letting their healthcare provider handle it.
Can You Speed Up Effacement?
If you’re eager for your cervix to efface fully, consult your obstetrician or healthcare provider before trying any methods. Some techniques that may help include:
- Parallel Feet: Aligning your toes can open the pelvis and help position the baby correctly.
- Using a Birthing Ball: Sitting and moving on a birthing ball can also promote effacement.
- Intimacy: Semen contains prostaglandins, which help soften the cervix, while orgasms can induce uterine contractions.
- Relaxation: Keeping stress levels low can facilitate dilation. Surround yourself with positive energy and laughter to ease the process.
- Nipple Stimulation: This can release oxytocin, which may initiate contractions. However, consult your doctor if you have a high-risk pregnancy.
- Castor Oil: Consuming castor oil can release prostaglandins that soften the cervix, though moderation is key.
- Massage: Deep tissue massages can elevate oxytocin levels, potentially triggering labor contractions.
- Evening Primrose Oil: This herb may activate prostaglandins, aiding in cervical softening.
In some situations, if your cervix hasn’t fully effaced, but your provider feels it’s in the best interest of you and your baby, they might choose to induce labor.
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In summary, cervical effacement is an essential part of your body’s preparation for labor, measured in percentages, while dilation is measured in centimeters. As you approach your due date, being aware of the signs and symptoms can help you feel more prepared for your baby’s arrival.
Keyphrase: Cervical Effacement and Dilation
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