Written by Suma rp
Pregnancy is a blooming phase of a woman’s life. After the prolonged journey of 38 weeks, there is too much excitement to see the baby. The last few weeks are extremely crucial, just like the initial ones are. This is the time when the pregnant woman must keep a watch on the contractions and be alert if it is time. Contractions can even signal false labor, so it is important to be thorough and vigilant at this time and seek medical intervention when required. For childbirth to proceed, it is important for your cervix to start dilating and effacing, this process is triggered by cervical ripening.
If your cervix ripens naturally, the chances of a normal delivery are high. But in some cases, ripening of the cervix needs assistance. Doctors may use some methods, medicines, and specific procedures. Cervical ripening paves the way for the baby to come out via the birthing canal. The first step is that helps the cervix to dilate and become thin.
In This Article
Cervical ripening is a starting point for softening the cervix, and dilating it resulting in labor induction. The cervix remains closed during pregnancy, for the baby to stay in the uterus but with nearing the delivery date, the cervix starts to soften and thin.
The cervix ripens in a natural manner but sometimes few women may require medical intervention or other methods for ripening the cervix. This is done with the help of devices, medicines, and other natural methods like walking and using a birthing ball.
Cervical ripening is necessary and this is the first step for the procedure of dilation and effacement to begin. The process helps the pregnant woman with inducing labor.
However, labor can be induced with medication as well as procedures for contractions to begin and to even get into labor. This happens in these two conditions
[Read : Cervical Effacement During Pregnancy]
Cervical ripening helps in thinning the cervix for allowing the baby to come through the birthing canal. Bishop score is a scale that helps to assess the degree of the ripening of the cervix. This helps the doctor to assess the bishop score after they examine the cervix.
The score can range from 0 to 13. The method also allows the doctor to examine if the cervix is thin, dilated, and even its position. If the Bishop score is lesser than six, the cervix is not ripe enough and needs cervical ripening, but if it is more than 8 then the body is ready for labor.
Here are a few methods used for cervical ripening to induce labor
Here are a few non-pharmacological methods that are useful for cervical ripening
Taking a hot bath helps to induce labor and helps with cervical ripening. But before you decide to do that, you need to let your doctor know.
Massaging the breast releases oxytocin which helps to induce labor. Applying a warm compress to the breast thrice a day or for one hour helps in inducing labor.
There are certain procedures in acupuncture and acupressure to induce labor. You must get the procedure done under the supervision of an expert therapist.
*GET APPROVAL FROM YOUR DOCTOR BEFORE GOING FOR THIS*
Cervical ripening, dilation, or softening can even be done through medications. Cervical softening medicines that help with effacement and dilation. The medication will be intravenous, oral, or vaginal.
The common medications that come into practice are
The mechanical methods use local pressure to trigger the release of prostaglandins. According to a study published in Cochrane Publications, balloon dilators used in mechanical methods are comparatively safe and are almost as effective as pharmacological methods in inducing labor.
The common ways are
Once the catheter is put in the cervix, balloon filling is done with the required amount of saline and is left till the rupturing of the cervix takes place.
A duck-shaped device called a speculum helps in dilating as well as visualizing the cervix. After this, the dilators are put in, till the cervix dilation happens completely.
There are high chances of catching an infection, bleeding, placental disruption, etc. with mechanical methods of cervical ripening.
This method includes the separation of membranes or the artificial rupturing of membranes.
The method uses a small hook for rupturing the membranes around the amniotic sac. This helps in releasing the prostaglandins which help in the ripening of the cervix. It is the artificial rupturing of the membranes.
Some common side effects are
This activity helps to release prostaglandin by dilating the cervix. A gloved finger is put inside the vagina. Then it is moved in a circular form for detaching the membranes from the lower uterine portion.
Its negative effects are
Several types of cervical ripening methods are available, and each can have its own set of risks and side effects.
Here are a few risks associated with the methods of cervical ripening
Cervix ripening is a great way to assess if the body is ready to get into labor. This can even happen before the due date for some and for others at the time of labor.
Here are a few tips to prepare your cervix to ripen
A great way to open the cervix is by walking, this even helps the baby to reach the cervix and helps with dilation as well.
Movement of hips, whether, rocking, bouncing, or rotating helps to open the cervix and dilate it as well.
The posture of the pregnant lady changes with the growth of the belly. If the weight is kept on the ankles and one does not slouch while in a sitting position, it helps to open the cervix.
It is common for the pregnant woman to stand with legs apart but if the toes are kept in a parallel position while standing, it helps to open the cervix as well.
If your cervix has not ripened even after following everything possible, understand that this is not abnormal. It occurs to many women and doctor interventions are very much helpful at this time. If you have to go through a procedure to ripen your cervix, stay calm and trust your doctors.
[Read : Water Breaking During Pregnancy]
Cervical ripening is a natural process but sometimes needs assistance. You must contact your doctor
Thus, Cervical ripening happens naturally during labor else the medical practitioners use a suitable method. This, however, depends on the condition of the expected mother. Every method has some side effects as well, so it is important to always let the doctor decide and never try on your own. The process of ripening can happen at the time of labor or before as well.
Cervical ripening is not painful. However, you may experience a bit of pelvic pressure or cramping pain at the time of cervical ripening which is due to softening of the cervix.
You can sleep during the time of cervix dilation and effacement. However, lying sideways is more effective and you will not feel the discomfort.
Suma is a passionate content writer with a strong keenness to understand the miracle of pregnancy, birth, and parenting. Suma has successfully transitioned into a full-time content writer and a key contributor at Being The Parent. She leverages on her experimental background in chemistry and experience in writing to come up with well-researched content that helps parents struggling to deal with various medical conditions of their children.Read more.
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