You simply arrived on the hospital with common contractions each 5 minutes, the nurse places you within the triage room and a resident reveals as much as do a vaginal examination. As she does the examination, the mumbles to the nurse:
”Intact bag…70…2…-1…OA….”. You suppose you’re again at school! What do all these numbers and feedback imply?
When your OB or midwife does an inner examination throughout labor, they examine on a number of issues:
- How effaced your cervix is
- How open the cervix is
- The place the child’s head is (low or excessive within the pelvis)
- The place of the top
- Whether or not your water has damaged
When your OB says “bag intact” it means your water hasn’t damaged. If the water had damaged, (s)he’d say „clear amniotic fluid“ and even „meconium“ which signifies that your child has let some bowel motion into the water.
“70” means what number of % the cervix has effaced. Throughout being pregnant the cervix needs to be zero% effaced, at delivery the aim is 100%. The primary hours of delivery the cervix effaces to 70% or 80%, solely then the cervix slowly begins to open. Typically you might be 100% effaced and 1cm dilated. This implies your cervix is “thinned out” and often opens a bit sooner.
The #1-10 appears to be like on the dilation of your cervix. Within the above case the cervix is simply 2cm dilated which implies you aren’t in lively labor but and almost certainly can return residence for now- if you would like in fact. Lively labor begins at 5-6cm. When you attain 10cm you might have the urge to push and enter a brand new section of labor.
The quantity -1 appears to be like on the top of your child’s head within the pelvis. Your baby could possibly be method above the pelvis at -Three, then strikes all the way down to -2, -1 and zero. zero means your child is in probably the most slim a part of the pelvis. From there we go to +1, +2, +Three and +four which is the precise delivery. The extra + we now have throughout labor, the higher.
OA means your child’s head is in a “occiput anterior” place. Your baby’s again needs to be dealing with your stomach, not your backbone. OA subsequently is an efficient place. OP means “occiput posterior” which implies your child nonetheless must make a flip to suit higher by your pelvis.
In fact this can be a lot of data so be certain to ask your OB or midwife if all the things appears to be like tremendous. More often than not that is the case and if child nonetheless wants to return down a bit your doula will transfer you into good positions to assist the progress of labor.
What cryptic phrases have you ever heard throughout delivery?
Stephanie Heintzeler, Midwife and Doula, www.thenewyorkdoula.com
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