Summary of a Cervical Lip in Labor

 

HORSE LIPS: Labor coping strategy, Breathing for Labor, Breathing Techniques for Labor and Birth

Video taken from the channel: Alice Turner


 

Use a balloon and ping pong ball to show how the cervix thins and dilates during labor

Video taken from the channel: Liz Chalmers


 

Paracervical block video Animation

Video taken from the channel: Hologic


 

What is TRANSITION in labor like?

Video taken from the channel: Alice Turner


 

How to Check Cervical Dilation + Vaginal Exam

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Cervical Effacement Demonstration

Video taken from the channel: Health E-Learning and Media HELM UoN


 

DILATION of cervix | what does cervical dilation mean

Video taken from the channel: Alice Turner


As she points out, simply due to anatomy, almost every woman will have an anterior cervical lip in labour. It’s generally believed the cervix dilates evenly in a circle. In fact, as Dr Reed shows, the cervix opens like an ellipse or oval, from the back to the front. In early labour the cervix points toward the back of the vagina. The lip is seen as a result, not a cause and then suddenly solutions expand to include anatomical structures otherwise “unseen” or ignored.

In this story, the pain, the lip, and the length of time may all indicate cervical ligament issues. Anterior Lip Solutions. Anterior lip solutions may be chosen according to the provider’s scope of practic. A: An anterior cervical lip occurs when the presenting part is not positioned correctly upon the cervix, causing unequal pressure that results in unequal dilation. Birth Center – Cervical Lip I had prodromal labor for 6 days, or should I say nights, until Saturday, May 5th.

My contraction continued throughout the day and I was hopeful it would keep progressing, and it did!This week is Part 2 of our discussion on the potential of Dynamic Body Balancing techniques in caring for a labor with a cervical lip. Read Part 1 here. Releasing a Cervical Lip. Body balancing techniques specific to releasing a cervical lip include Forward-leaning Inversion through one contraction.

See guidelines for safety and medical contraindications before proceeding. Forward. Cervical lips are relatively common, and usually disappear on their own once a mother is fully dilated. They occur when part of your cervix isn’t fully dilated and blocks baby’s head from easily coming through the birth canal.

They can occur on any side of the cervix, but are seemingly more common in the anterior, or front of the body. Basically, this term means that you’re fully dilated, but an edge of your cervix (usually the anterior — or front — of the cervix) is a little bit swollen and is still in the way of baby’s head. Your OB may wait until it moves into the correct position on its own, or she may try to pull it out of the way with her fingers while you bear down to push the baby past. Cervical lips are relatively common, and usually disappear on their own once a mother is fully dilated.

They occur when part of your cervix becomes swollen and blocks baby’s head from easily coming through the birth canal. They can occur on any side of the cervix, but are seemingly more common in the anterior, or front of the body. Before labor, the lower part of your uterus called the cervix is typically 3.5 cm to 4 cm long. As labor begins, your cervix softens, shortens and thins (effacement).

You might feel uncomfortable, but irregular, not very painful contractions or nothing at all. Effacement is. I spent a lot of time in the tub (labor only; I did not want a water birth) and got to 9cm with a lip extremely easily.

I barely even noticed transition and my body began to push on its own. It felt really good. However, my cervix started swelling in hindsight probably a combination of the lip and LO being OP (although I did not have back labor).

List of related literature:

Signs and symptoms of impending birth include increased bloody show, freTuent strong contractions, the mother’s desire to bear down forcibly or her report that she feels as though she is going to defecate, visible bulging of the bag of waters or the perineum, and crowning of the baby’s head at the vaginal introitus.

“Mosby's Dictionary of Medicine, Nursing and Health Professions Australian & New Zealand Edition eBook” by Peter Harris, Sue Nagy, Nicholas Vardaxis
from Mosby’s Dictionary of Medicine, Nursing and Health Professions Australian & New Zealand Edition eBook
by Peter Harris, Sue Nagy, Nicholas Vardaxis
Elsevier Health Sciences, 2014

Signs and symptoms of impending birth include increased bloody show, frequent strong contractions, the mother’s desire to bear down forcibly or her report that she feels as though she is going to defecate, visible bulging of the bag of waters or the perineum, and crowning of the baby’s head at the vaginal introitus.

“Mosby's Dictionary of Medicine, Nursing and Health Professions Australian & New Zealand Edition E-Book” by Peter Harris, Sue Nagy, Nicholas Vardaxis
from Mosby’s Dictionary of Medicine, Nursing and Health Professions Australian & New Zealand Edition E-Book
by Peter Harris, Sue Nagy, Nicholas Vardaxis
Elsevier Health Sciences, 2009

In: S Kitzinger, P Simkin P (eds), Episiotomy and the Second Stage of Labor.

“The Labor Progress Handbook: Early Interventions to Prevent and Treat Dystocia” by Penny Simkin, Lisa Hanson, Ruth Ancheta
from The Labor Progress Handbook: Early Interventions to Prevent and Treat Dystocia
by Penny Simkin, Lisa Hanson, Ruth Ancheta
Wiley, 2017

This is encouraged during the later rotates into a dorsal position, with its forepart of first-stage labour by the pressure of limbs, head and neck fully extended, the allanto-chorionic membrane and the becoming engaged in the birth canal foal’s forelimbs against the uterine side of (Fig. 7.6).

“Equine Reproductive Physiology, Breeding, and Stud Management” by Mina C. G. Davies Morel
from Equine Reproductive Physiology, Breeding, and Stud Management
by Mina C. G. Davies Morel
CABI Pub., 2003

Eight to 12 hr prior to parturition, the cervix will dilate and the cervical mucous plug will be evident as a tan, smeared substance on the tail and perineum of the dam.

“Laboratory Animal Medicine” by James G. Fox, Lynn C. Anderson, Franklin M. Loew, Fred W. Quimby
from Laboratory Animal Medicine
by James G. Fox, Lynn C. Anderson, et. al.
Elsevier Science, 2002

There is very little bloody show in the beginning, but the amount increases with effacement and dilation of the cervix.

“Maternal Child Nursing Care in Canada E-Book” by Shannon E. Perry, Marilyn J. Hockenberry, Deitra Leonard Lowdermilk, Lisa Keenan-Lindsay, David Wilson, Cheryl A. Sams
from Maternal Child Nursing Care in Canada E-Book
by Shannon E. Perry, Marilyn J. Hockenberry, et. al.
Elsevier Health Sciences, 2016

kidneyknee­chest position labia majora labia minora labor bleeding during third stage breathing during complications duration emotions during eating and drinking during induction pushing during stages of washing during lanugo levator ani lie ligaments lightening locked twins lovemaking malnutrition measles.

“Spiritual Midwifery” by Ina May Gaskin
from Spiritual Midwifery
by Ina May Gaskin
Book Publishing Company, 2002

If the head descends while the ‘lip’ is supported digitally, the cervix may become fully dilated allowing labour to progress.

“Arias' Practical Guide to High-Risk Pregnancy and Delivery: A South Asian Perspective” by Fernando Arias, Amarnath G Bhide, Arulkumaran S, Kaizad Damania, Shirish N Daftary
from Arias’ Practical Guide to High-Risk Pregnancy and Delivery: A South Asian Perspective
by Fernando Arias, Amarnath G Bhide, et. al.
Elsevier Health Sciences Apac, 2019

First stage labour, which lasts between 3 and 12 hours, occurs when uterine contractions push the fetuses, fetal fluids and placentae against the cervix, causing it to dilate.

“Diseases of the Goat” by John G. Matthews
from Diseases of the Goat
by John G. Matthews
Wiley, 2011

As the cervical os is gently dilated (stretch) and the amnion is digitally separated from the lower uterine segment (sweep), intrauterine prostaglandin synthesis commences and so labour may be induced (Boulvain et al 2005).

“Skills for Midwifery Practice” by Ruth Johnson, Wendy Taylor
from Skills for Midwifery Practice
by Ruth Johnson, Wendy Taylor
Elsevier Health Sciences UK, 2010

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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46 comments

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  • I loved this so much and practiced it for my childbirth classes. Thank goodness I tried it before because after 8 balloons and ping pong balls, I never got the “cervix” to efface completely or dilate. It was an epic fail. So I posted on a FB group of birth workers and CBE’s and asked if anyone had had success. Many had tried it and either the balloon popped or they had the same results as I did. Is there a secret to this little trick? I’d still love to try it for a class.

  • Thank you. This was a great way for me to discuss contractions and touch on labor and delivery with my very curious boys. They are 7 and 9 and their baby brother was born last year so they have a lot of questions.

  • Interested in the phases of labor that come before transition? Make sure to checkout the Early Labor video and the Active Labor Video.

  • I love this!! I would add a line on the balloon near the opening to show a low lying placenta and how the growth of baby can change that placement of the placenta.

  • Awesome! Best demo I’ve seen yet. Please do more videos on physiology of labor and birth. How about laboring and pushing positions demo that show how they help baby descend?

  • This was very interesting. I had no pain and had no indication I was in labour. I had a cervix check at a regular checkup and found out I was 7cm. I went to the hospital the next day, got checked, and was at 8cm (that’s when they broke my water) and then I started feeling the contractions. But, I do agree with the previous poster. The cervix check I had was excruciatingly painful lol, like you said, men’s fingers are larger ��

  • I’m an AMANI CBE in Saudi Arabia and we use this technique too. But it’s a fathers’ exercise here! It’s more fun when dads experience how exerting pushing is!

  • I live 40 min away from the hospital and am concerned about when to leave to the hospital, any suggestions? I know every woman’s labor is different, but I am afraid of leaving to soon, or to late. (mmmm my favorite bbq sauce)

  • This truly helped me get through labor. With all of the pain with each contraction I knew that was one step closer to meeting my son. I pictured his little head moving down the birth canal a little more with each contraction. My body knew what it was doing, I just had to trust it. Thank you for this!

  • hey rachel your video really helped me for my presentation and i was appreciated for using the ‘bottle caps’ method as an audiovisual aid.Thanks a lot for making such a tough and tricky topic wonderfully easy.

  • I love the video but it would have been great to know what size balloon to get. I found out the hard way. Size 18 balloon or higher. The 12 inch balloon did not work. It got stuck at the end.

  • I LIKED THE FACT THAT YOU SHOWED THE CAPS IN COMPARISSON TO HOW THE CERVIX SHOULD LOOK LIKE ACCORDING TO THE CENTIMETERS, IT REALLY HELPED ME UNDERSTAND BETTER OF WHAT MY DOCTORS EXPLAIN. SINCE I AM 2 WEEKS FROM GIVING BIRTH

  • Wow! Thanks for this — I’m a second time expectant mom but had a c-section at 37w with my first, and I never went into labor. I’ve been worried I wouldn’t understand the difference with this one (I’m 39w) and even though am having another c-section wanted to be prepared in case she decides to come before then! Thank you for the visualization!

  • Hi um I’m currently 31 weeks pregnant and the thing that I am afraid of is the midwife checking my cervix. Does she only use her fingers? Very scared about this part of my Labour

  • a finger, is that all the doctor does to us? because when I was in labor I swear it felt like he put his whole hand up in me and it hurt like hell lol

  • As a midwife, this the most helpful explanation on how the cervix dialates; i have posted it on my facebook page and encourage all my clients and their family members to watch it.

  • hi. you have to be in my house and you are the only time i was the week and i it last night you have been so good to be a good friend you have. and you have a great day

  • did she say ‘show that to your young kids’? Do you want to make them tokophobic? Because that’s how you can easily traumatize a person

  • Ok ngl, as a dude, this helped massively to understand what is going on, my friend told me this was best way to understand what a pregnancy would be like from the women’s perspective, absolutely amazing explanation

  • Doctors used to say that the cervix opens about 1cm per hour, but that idea has been retired thankfully! The rate of dilation in early labor is unpredictable.

  • My High School Child Development class just participated in this activity and we had a BLAST!:) They really loved it!!!!! And bonusnobody was hurt by flying ping pong balls!:)

  • wen the baby lowers down & the cervix is starting to open, does it come down a bit lower in the vagina?

    and how far up (cm) is the uterus opening?

  • I didn’t hear much of what she said. Just watching her fingernails, hoping they would pop the balloon. Now I have to watch it again to really listen.

  • Thanks for posting this. The blank I stare I usually give my wife when she explains this stuff is a little less blank today.

    Should be mandatory viewing for soon to be dads.

  • I have to say that this helps a lot since I’m not only a Pre-Med Major but also I’m 36 weeks pregnant with my first baby! Thanks Rachel and I will let you know what I have when I give birth! My Due Date is April 16th

  • This is so great!! I’ve been teaching online, and I send my students to this demonstration! I can’t wait to try it myself. It’s perfect!!!

  • I have been using this in my high school Child Development classes each semesterthe students love it but they also get a much better understanding of how the process actually works. THANK YOU for posting this fantastic idea!! I’m using it again today at the end of our lesson, so excited!

  • Wonderful, thank you! Wish this had been around while I was still a practising midwife I retired 10 years ago. I shall pass it on.

  • I tried this experiment in my class before and someone’s balloon popped. Worst case scenario if that happens to someone while giving birth. O_o

  • Thank you so much for this! I saw it a while ago on Facebook. I just found out I’m expecting so all the knowledge I can get is great!

  • Hi Liz! Thank you for an amazing video. I am an editor with toteraz.pl Would you agree that we posted your video on our website and Facebook profile? Of course we would credit you. Thank you!

  • Hi:
    We hope you are well, greetings from the editorial staff of OkChicas https://www.facebook.com/OkChicasBlog one of the largest online digital media in Latinoamerica aimed at the female audience, where we publish viral content, inspirational stories, videos, fashion and beauty articles, and all kinds of topics of interest.

    Recently we saw this video https://www.youtube.com/watch?v=URyEZusnjBI we would like it to be featured in our page, to be part of our content, obviously, giving all the necessary credits to your social networks in the description.

    We would love to receive an affirmative and prompt response from you, thank you for your time.

    Alisa Mercado, content publishing
    Email:[email protected] okchicas.com

  • Do you think you could figure out a visual on why positioning of baby can interrupt this process? My son was OP and his labor was…interesting is the kindest word I can use, while my very large (10.5 lbs) daughter was positioned perfectly and her labor was vastly easier and less painful.

  • Thank you for this video. I want to stay at home for as long as I possibly can when the day comes while checking my cervix myself to see how far along I’m and when I should head to the hospital.

  • Dear Liz, I have a blog about giving birth (it is in German): http://www.ichgebaere.com. I would love to link your video to my page, if you agree to it. Best wishes, K

  • Honestly was freaked out when she said “Hey Charlotte” I always go by Lottie but my brith name is Charlotte and tons of my teachers accidentally call me Charlotte, anyway do with that information what you want I guess.

  • Thank you for this! I’m 35 weeks pregnant with my 3rd and this is the first time I’ve really understood the difference between BH and real contractions.

  • I’m a surgical first ast and work in fetal surgery and at times we have moms that are higher risk and can’t have the surgery and will carry and we’d fix problems after birth. this was very educational but I had a question the the fact of men (not md) working in ob and the patient or the partner not ok with a male checking for the dr may it be dilation or discharge or any other things. I’m just 6 years into fetal field so any advice would be great on that front.

  • This is a brilliant video!! Thank you! I just hope the uterus doesn’t deflate as quickly as the balloon did in the very end:):):)

  • I think I just passed out watching this ping pong be born… Thankfully we didn’t see this before that unexpected birth at home. We might of panicked!

  • That is the most fantastic simple explanation of demonstrating contractions & the birth process I have ever seen.Thanku will share with my first time Mum to be Daughter in Law who has had no ante natal classes because of Covid 19

  • Qué video más fantástico. Soy de Colombia estoy en mi semana 38 muy nerviosa por supuesto. Fue gráfico pero no agresivo. Mil gracias

  • Liz, I’m a Women’s Health PT and childbirth educator. I’ve sent your video to so many of my clients-it’s fantastic. I teach an online program as well. Would you mind if I included the link to your video there as well? Thanks! Keep up the good work (and the fabulous nails!)

  • not trying to be negative but i dont see how any woman can do this to herself. it already hurts like hell when the OB does it but props to those who do..i just view it as a waste of time especially since dilation means nothing in the early weeks close to your due date. i mean me for example, ive been at a 3 for like two weeks…

  • Oh wow! This is great. Thank you. It is hard enough to find it let alone work out how many cm. This is wonderful to help with these exams

  • I did this during two labors (and one very intense postpartum procedure…) and it was AMAZING. So helpful! I recommend it to all my friends who are nearing their due dates.