Cervical dilation in the context of Birth complications


Cervical dilation in the context of Birth complications

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⭐ Core Definition: Cervical dilation

Cervical dilation (or cervical dilatation) is the opening of the cervix, the entrance to the uterus, during childbirth, miscarriage, induced abortion, or gynecological surgery. Cervical dilation may occur naturally, or may be induced surgically or medically.

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Cervical dilation in the context of Childbirth

Childbirth, also known as labour (or labor in American English), parturition, and delivery, is the completion of pregnancy, where one or more fetuses exits the internal environment of the mother via vaginal delivery or caesarean section and becomes a newborn to the world. In 2019, there were about 140.11 million human births globally. In developed countries, most deliveries occur in hospitals, while in developing countries most are home births.

The most common childbirth method worldwide is vaginal delivery. It involves four stages of labour: the shortening and opening of the cervix during the first stage, descent and birth of the baby during the second, the delivery of the placenta during the third, and the recovery of the mother and infant during the fourth stage, which is referred to as the postpartum. The first stage is characterised by abdominal partying or also back pain in the case of back labour, that typically lasts half a minute and occurs every 10 to 30 minutes. Contractions gradually become stronger and closer together. Since the pain of childbirth correlates with contractions, the pain becomes more frequent and strong as the labour progresses. The second stage ends when the infant is fully expelled. The third stage is the delivery of the placenta. The fourth stage of labour involves the recovery of the mother, delayed clamping of the umbilical cord, and monitoring of the neonate. All major health organisations advise that immediately after giving birth, regardless of the delivery method, that the infant be placed on the mother's chest (termed skin-to-skin contact), and to delay any other routine procedures for at least one to two hours or until the baby has had its first breastfeeding.

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Cervical dilation in the context of Self-managed abortion

A self-induced abortion (also called a self-managed abortion, or sometimes a self-induced miscarriage) is an abortion performed by the pregnant woman herself, or with the help of other, non-medical assistance. Although the term includes abortions induced outside of a clinical setting with legal, sometimes over-the-counter medication, it also refers to efforts to terminate a pregnancy through alternative, potentially more dangerous methods. Such practices may present a threat to the health of women in the case that they are incorrectly used.

Self-induced (or self-managed) abortion is often attempted during the beginning of pregnancy (the first eight weeks from the last menstrual period). In recent years, significant reductions in maternal death and injury resulting from self-induced abortions have been attributed to the increasing availability of misoprostol (known commercially as "Cytotec"). This medication is a synthetic prostaglandin E1 that is inexpensive, widely available, and has multiple uses, including the treatment of post-partum hemorrhage, stomach ulcers, cervical preparation and induction of labor. The World Health Organization (WHO) has endorsed two regimens for abortion up to 12 weeks of pregnancy using misoprostol: a standardized regimen of mifepristone and misoprostol and a regimen of misoprostol alone. The regimen with misoprostol alone has been shown to be up to 83% effective in terminating a pregnancy but is more effective combined with mifepristone.

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Cervical dilation in the context of Dilation and curettage

Dilation (or dilatation) and curettage (D&C) is a medical procedure that dilates (widens or opens) the cervix and surgically removes tissue from the lining of the uterus by scraping or scooping (curettage). The D&C gynecologic procedure is used for treatment, diagnostic and therapeutic purposes.

D&C can be used to end an unwanted pregnancy or to remove the remains of a non-viable fetus. It can also be used to remove the placenta after childbirth, abortion, or miscarriage. D&C is a commonly used method for first trimester abortion or miscarriage. D&C can also be used to remove tissue from the uterus for diagnostic purposes.

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Cervical dilation in the context of Human birth

Childbirth, also known as labour (or labor in American English), parturition, and delivery, is the completion of pregnancy, where one or more fetuses exits the internal environment of the mother vaginally or via caesarean section and becomes a newborn to the world. In 2019, there were about 140.11 million human births globally. In developed countries, most births occur in hospitals, while in developing countries most are home births.

Vaginal birth is the most common mode of birth worldwide. It involves four stages of labour: the shortening and opening of the cervix during the first stage, descent and birth of the baby during the second, the birth of the placenta during the third, and the recovery of the mother and infant during the fourth stage, which is referred to as the postpartum. The first stage is characterised by abdominal partying or also back pain in the case of back labour, that typically lasts half a minute and occurs every 10 to 30 minutes. Contractions gradually become stronger and closer together. Since the pain of childbirth correlates with contractions, the pain becomes more frequent and strong as the labour progresses. The second stage ends when the infant is fully expelled. The third stage is the birth of the placenta. The fourth stage of labour involves the recovery of the mother, delayed clamping of the umbilical cord, and monitoring of the neonate. All major health organisations advise that immediately after giving birth, regardless of the mode of birth, that the infant be placed on the mother's chest (termed skin-to-skin contact), and to delay any other routine procedures for at least one to two hours or until the baby has had its first breastfeeding.

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