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The cervical canal connects the interior of the vagina and the cavity of the body of uterus. The cervix is part of the female reproductive system. Around 2–3 centimetres (0.8–1.2 in) in length, [3] it is the lower narrower part of the uterus continuous above with the broader upper part—or body—of the uterus. [4]
Sequence of images showing the stages of a normal vaginal delivery (NVD) Sequence of images showing stages of an instrumental vaginal delivery. A vaginal delivery is the birth of offspring in mammals (babies in humans) through the vagina (also called the "birth canal"). [1] It is the most common method of childbirth worldwide. [2]
According to the Modified Bishop's pre-induction cervical scoring system, effacement has been replaced by cervical length in cm, with scores as follows: 0 for >3 cm, 1 for >2 cm, 2 for >1 cm, 3 for >0 cm. [6] Cervical length may be easier and more accurate to measure and have less inter-examiner variability.
For births that occur in hospitals the WHO recommends a hospital stay of at least 24 hours following an uncomplicated vaginal delivery and 96 hours for a Cesarean section. Looking at length of stay (in 2016) for an uncomplicated delivery around the world shows an average of less than 1 day in Egypt to 6 days in (pre-war) Ukraine.
Pelvimetry is the measurement of the female pelvis. [1] It can theoretically identify cephalo-pelvic disproportion, which is when the capacity of the pelvis is inadequate to allow the fetus to negotiate the birth canal.
Cervical effacement is an important component of the Bishop score and is reported as a percentage. 0% indicates the cervix is at normal length, 50% indicates the cervix is half of the expected length and 100% effaced means the cervix is paper thin. [10] The Bishop score has been modified in current medical practice.
Normally, the cervix should be at least 30 mm in length. Cervical weakness is variably defined. However, a common definition is a cervical length of less than 25 mm at or before 24 weeks of gestational age. The risk of preterm birth is inversely proportional to cervical length: [7] Less than 25 mm; 18% risk of preterm birth
Ladin's sign is a clinical sign of pregnancy in which there is softening in the midline of the uterus anteriorly at the junction of the uterus and cervix.It occurs and is detectable with a manual examination at about 6 weeks' gestation. [1]