08/27/2020
Let's talk about getting checked.
Leading up to your estimated due date your care provider may provide the opportunity to be checked. Exciting, right?! Makes it feel like things are happening, like it's important information.
So your care provider checks you and you receive the information that you are
>A fingertip dilated and 20% effaced.
>Or you're still tight, firm and closed up.
>Or you're cervix is getting ripe and soft.
My question to you now is, which one of these is good? If you were 37 weeks along, and your care provider offered you one of the three statements above, which would you hope for it to be? I couldn't tell you.
While the analogy I'm about to provide isn't perfect, stick with me for a second. With hurricanes on the mind, it got me thinking, but let me first say that our thoughts and prayers are with all of those dealing with the current storms.
Let's imagine a hurricane is building. The news reports are relentless about the power of the storm that is developing. We are overrun with details on wind speed as it varies over the course of the day. And then they begin reporting the width of the eye of the storm.
You get anxious, you even get excitable. You find yourself checking the reports every hour hoping to learn something new, but it is the same reports of wind speed and size of the eye.
Do you see what's missing?
Where is the storm?? Is it in the middle of the ocean? Is it off a coast somewhere? Is it making landfall? Which way is it going to turn?
I offer you these same questions in regards to getting checked. The missing question is, Where is baby? Is baby still high and ballotable? Are they engaged in the pelvis? Is their back on the left or right side? Is their chin tucked or extended?
The cervix and all of it's movement (dilation, effacement, etc), will follow the baby's proper positioning and proper contraction growth. There is very very little you can do to affect cervical change. EXCEPT to first assess baby's position. And that is where there is a lot that can be done.
Like a hurricane, the most important first question is: where is it? The wind speeds and size of the eye, will automatically grow and develop, but we have to know first where is the storm.
So maybe as things get closer and your care provider offers to check your cervix, you can instead ask them more about where exactly is baby.