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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.
Dilation and evacuation can be offered for the management of second trimester miscarriage if skilled providers are available. [6] Some women choose D&E over labor induction for a second trimester loss because it can be a scheduled surgical procedure, offering predictability over labor induction, or because they find it emotionally easier than undergoing labor and delivery.
Dilation (or dilatation) and curettage (D&C) refers to the dilation (widening or opening) of the cervix and surgical removal of sections and/or layers of the lining of the uterus and or contents of the uterus such as an unwanted fetus (early abortion before 13 weeks), remains of a non-viable fetus, retained placenta after birth or abortion as well as any abnormal tissue which may be in the ...
The Bishop score is the most common method of assessing the need for induction of labor. The scoring is based on a digital cervical exam and takes into consideration cervical dilation, position, effacement, consistency of the cervix and fetal station. [10] Cervical dilation measures how dilated the cervix is in centimeters
In this procedure, the balloon is inserted behind the cervical wall and inflated, for example with 30-80 mL of saline. [9] The remaining length of the catheter is pulled slightly taut and taped to the inside of the leg. The inflated balloon applies pressure to the cervix as the baby's head would prior to labor, causing it to dilate.
Labor is divided into three stages. First stage of labor starts with the onset of contractions and finishes when the cervix is fully dilated at 10 cm. [15] This stage can further be divided into latent and active labor. The latent phase is defined by cervical dilation of 0 to 6 cm. The active phase is defined by cervical dilation of 6 cm to 10 cm.
Labor induction is the procedure where a medical professional starts the process of labor (giving birth) instead of letting it start on its own. Labor may be induced (started) if the health of the mother or the baby is at risk. Induction of labor can be accomplished with pharmaceutical or non-pharmaceutical methods. [1]
A sign of cervical weakness is funneling at the internal orifice of the uterus, which is a dilation of the cervical canal at this location. [3] In cases of cervical weakness, dilation and effacement of the cervix may occur without pain or uterine contractions. In a normal pregnancy, dilation and effacement occurs in response to uterine ...