how many cm dilated before going to hospital?
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Generally speaking, once you are dilated past 5 or 6 centimeters and having regular contractions, most practitioners will be fairly insistent that you remain in the hospital or birth center until your baby is born.
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Unless your doctor or midwife has given you specific instructions, you should head to the hospital or your chosen place of birth when your contractions are every three to five minutes and last for 45 seconds to 60 seconds each over the course of at least an hour if this is your first baby.
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Stage two: full dilation and pushing Once the cervix has reached 10 cm, it is time to push the baby out. Contractions continue but also produce a strong urge to push. This urge might feel like an intense need to have a bowel movement. This stage can last anywhere from a few minutes to a few hours.
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In general, though, once active labor begins, the average progress is about 1 centimeter dilation per hour for your first baby and 1 1/2 centimeters per hour for a second baby.
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Active labor This is when you should head to the hospital. When you have contractions every 3 to 4 minutes and they each last about 60 seconds, it often means that your cervix is opening faster (about 1 centimeter per hour).
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Typically, you can receive an epidural as early as when you are 4 to 5 centimeters dilated and in active labor.
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Dilating to 1 centimeter does not necessarily mean that labor is only hours or days away. The cervix can be dilated to 1 centimeter for weeks before the beginning of labor. This extent of dilation only signals that the cervix is starting to prepare for labor.
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Hospitals recommend a cut-off of about 24 hours because waiting for longer raises the risk of infection further (NCCWCH 2014, NICE 2016). If you're worried about waiting even for 24 hours, or are just keen to get labour going, talk to your midwife or doctor about having an induction sooner.
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During active labor, your cervix will dilate from 6 centimeters (cm) to 10 cm.
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Your cervix needs to open about 10cm for your baby to pass through it. This is what's called being fully dilated. In a 1st labour, the time from the start of established labour to being fully dilated is usually 8 to 12 hours. It's often quicker (around 5 hours), in a 2nd or 3rd pregnancy.
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In phase 1, called early labor or the latent phase, the cervix is dilated from 0 to 3 cm. You may have mild to moderate contractions every 5 to 20 minutes. You may be uncomfortable, with a backache, feeling of fullness, or menstrual-like pain.
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The process of the cervix opening (dilating) is one way that healthcare staff track how a woman's labor is progressing. During labor, the cervix opens to accommodate the passage of baby's head into the vagina, which is around 10 centimeters (cm) dilated for most term babies.
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One woman may go from having a closed cervix to giving birth in a matter of hours, while another is 1–2 cm dilated for days or weeks. Some women do not experience any dilation until they go into active labor. This means that the cervix is completely closed initially, but it widens to 10 cm as labor progresses.
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The general advice has been to wait until the contractions have been five minutes apart for an hour before you call and make your way to the hospital.
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It begins when your cervix starts to open (dilate) and ends when it is completely open (fully dilated) at 10 centimeters. When the cervix dilates from 0 to 3 or 4 centimeters, contractions get stronger as time progresses.
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Now it's time for the real work to begin. During active labor, your cervix will dilate from 6 centimeters (cm) to 10 cm. Your contractions will become stronger, closer together and regular.
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['Early Labor Phase –The time of the onset of labor until the cervix is dilated to 3 cm.', 'Active Labor Phase – Continues from 3 cm. until the cervix is dilated to 7 cm.', 'Transition Phase – Continues from 7 cm. until the cervix is fully dilated to 10 cm.']