Self-Checking Cervical Dilation

Introduction

• Note: Self-checking cervical dilation requires skill and is best performed by professionals (nurse, midwife, doctor).
• Self-checking is challenging due to physical limitations and should be avoided if waters have broken due to infection risk.

Steps to Self-Check Dilation

1. Wash your hands.
   • Use soap and water.
   • Trim nails to avoid internal cuts.
2. Get comfortable.
   • Choose a relaxing environment.
   • Wear loose clothing and consider calming aids (music, candles).
3. Get in position.
   • Squatting is recommended but other positions like standing with one leg elevated can be used.
4. Carefully insert two fingers.
   • Use the index and middle fingers; proceed gently.
5. Check for dilation.
   • Fingertips measurement:
     • One fingertip = 1 cm dilation.
     • Two fingertips = 2 cm dilation.
   • Estimate additional space for further dilation.

How Professionals Check Dilation

• Method:
  • Manual check with sterilized gloves.
  • Measurement of dilation and effacement.
  • Possibility of transvaginal ultrasound for precise measurement.

Timing for Dilation Checks

• Typically begins in the last 36-40 weeks of pregnancy.
• Timing varies based on individual needs and pregnancy progress.

Pain and Discomfort

• Generally should not be painful if care provider is considerate.
• Can cause discomfort for some; pain should be communicated to care provider.

Potential Induction of Labor

• Dilation checks themselves do not cause labor.
• Membrane sweep procedure can be requested to potentially induce labor.
  • Causes release of prostaglandin if body is ready.
  • Optional and carries risks and benefits.

Importance of Dilation Information

• Provides insights into labor progress but does not guarantee immediate labor.
• Bleeding post-exam is common due to capillaries in cervix.
• Alternative methods like purple line dilation can be used.

Role of Doulas

• Doulas provide comprehensive birth support and education.
• Contacting a doula is advised for guidance on self-checking and other pregnancy-related topics.

Resources

• Consider reaching out to a doula or care provider for personalized advice and support.