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I went to the doctor last week on a thursday and he ...

Sent to Health Experts May 10 2006 at 11:30 PM
   

I went to the doctor last week on a thursday and he told me that I was 2 centimeters and 50% effaced then told to be on bed rest until wednesday and come back friday instead of thursday and said that he would examine me more aggresivly, what does that mean?, and that I might deliver that day. I dont understand how long does it ussually take to dialate and efface? And since I already am dialating and effaced why dont I have much pain I get a contraction every now and then but they dont hurt too much

 

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May 11 2006 at 1:04 AM (12 minutes and 2 seconds later)
         
Reply to Christy Hammond's Post: Well you did not answer any of my questions what does the doctor mean by a more aggresive exam and I have been passing a substance consistant with the white of an egg and the rest is still unanswered how long does it normally take to dialate and efface what is the shortest to longest time
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May 11 2006 at 1:10 AM (6 minutes and 26 seconds later)
         
REPLIEDCheck Mark
That was't my reply-it was a request for info so I may better answer your question. Your due date especially will allow me to tell you what to expect from the your next exam for example. I'll have my answer typed and posted asap.

Edited by cch771 on May 11 2006 at 1:15 AM



I hope my answer is helpful. If you have more questions, just ask! I am happy to help. If not, please click "accept" so I may receive credit for my work.
Positive feedback and a bonus is appreciated when you feel I've earned it. Thank you, Christy
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May 11 2006 at 1:39 AM (29 minutes and 16 seconds later)
         
Reply to Christy Hammond's Post: I am due on may 28 but he thinks i will be ready friday
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May 11 2006 at 4:54 AM (3 hours and 15 minutes and 4 seconds later)
         
ACCEPTEDCheck Mark
The reason I asked about your due date is that effacement and dilation have very different significance if they begin before the 27th week.

As you are within weeks of your estimated due date, your cervix is beginning to soften, and slowly dilate and become effaced.   It is very common to dilate as much as three cm, and may present 100% effaced before true labor begins. The discharge you are seeing is the mucous plug. You may begin to see some bloody show with the mucous, which is also normal
This stage is considered “pre labor”, and yours is right on course. It is not, however an actual predictor that labor is imminent. Many women (me included) exhibit significant dilation and effacement and then go past their due date, or need to be induced.
Your Doctor’s reaction to your progression was probably intended to delay labor past the 37th week. Though babies can survive much earlier, Week 37 is considered full term, and the beginning of the optimal window for labor and delivery.
His reference to an “aggressive exam” probably just meant he would do an internal exam, some lab work and possible an external and/or internal ultrasound. Nothing you mentioned indicated a need for more invasive tests like an amniocentesis, or need for a c-section, so maybe aggressive was too strong of a word.

In some cases Doctor’s will manually stretch and massage the cervix slightly to actually encourage progression, or use Pitocin to induce labor. Alternately, the Doctor has the option of admitting you for full bed rest and IV fluids and medication to postpone labor. These are both interventions used only when mother or baby is at risk and you did not mention any complications or concerns that would warrant that.   

I can’t provide a dependable schedule for your progression, but I would have my overnight bag packed, and be ready to meet your little angel within 7-10 days if not Friday!

Please feel free to ask if you have more questions or concerns I did not address;   otherwise congratulations and good luck to you and your family.




I hope my answer is helpful. If you have more questions, just ask! I am happy to help. If not, please click "accept" so I may receive credit for my work.
Positive feedback and a bonus is appreciated when you feel I've earned it. Thank you, Christy
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