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Histologically, the cervix undergoes significant changes towards the end of gestation, allowing the ripening of cervix for the passage of birth delivery. First, there is an increase in the cervical synthesis of glycosaminoglycan hyaluronan (HA), which increases tissue hydration, thereby catalyzing the degradation of collagen and elastin-fibers.
Bishop score, also Bishop's score or cervix score, is a pre-labor scoring system to assist in predicting whether induction of labor will be required. [1] It has also been used to assess the likelihood of spontaneous preterm delivery. [ 2 ]
The American Congress of Obstetricians and Gynecologists has recommended against elective induction before 39 weeks if there is no medical indication and the cervix is unfavorable. [14] One recent study indicates that labor induction at term (41 weeks) or post-term reduces the rate of caesarean section by 12%, and also reduces fetal death. [15]
A ripe cervix is favorable prior to induction of labor, which is a common obstetric practice, and increases the chances for a successful induction. [24] Pharmacological methods are sometimes required to induce cervical ripening that does not occur naturally. [25]
Cervical dilation may be induced mechanically by placing devices inside the cervix that will expand while in place. A balloon catheter may be used. Other products include osmotic dilators , such as laminaria stick (made of dried seaweed) or synthetic hygroscopic materials, which expand when placed in a moist environment.
Cervical ripening is the physical and chemical changes in the cervix to ... Induced births and elective cesarean before 39 weeks can be harmful to the neonate as well ...
From Nicole Kidman’s erotic thriller “Babygirl,” to a book of sexual fantasies edited by Gillian Anderson, this was the year the female sex drive took the wheel in popular culture.
Sexual activity has also been suggested as a way to prepare for induced labor; some believe the natural prostaglandin content of seminal liquid can favor the maturation process of the cervix making it more flexible, allowing for easier and faster dilation and effacement of the cervix.