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For those wanting to know more about your cervix...  

post #1 of 14
Thread Starter 
So I've seen alot of mama's on here wanting to know or understand more about checking your own cervix... I'm going to take a couple quotes from the book "Taking Charge of Your Fertility" by Toni Weschler, mph. In this book, the reason for checking your cervix is to observe cervical fluid, cervical position, and the cervical opening in regards to ovulation and such. This is how I taught myself and it seems to be the easiest and most straight forward explanation I can find. I HTH some of you!
  • First thing is to wash your hands... WELL!
  • Find a position that works best for you. Like sitting on the toilet, one leg up in the shower, or squatting which will bring your cervix closer to the vaginal opening. Make sure which ever one you pick, you use that one consistently so you can notice changes.
  • Insert your middle finger or your index and middle finger. Now this may take some "feeling around" to actually find your cervix. I think at this point, most of ours will feel like lips. Kind of soft and mushy. Maybe those of us who have not had children it may feel more like the end of your nose w/a little dimple in the middle. You'll notice that something is "protruding". This is your cervix. In the middle, if you have never had children, it will feel like a dimple unless you've dialated some. If you have had children it will feel more like an oval and slightly open and more so if you are dialating. Sometimes your cervix can be pointing towards your front or your back instead of straight down.
Now, if you are going to do this, please make sure you are very careful. There can be risks like spreading bacteria into the vagina and possibly up through your cervix. Remember that if your cervix is open at all you could be interferring with the mucous plug and also your membrane sac. Lots of women tend to avoid cervical checks for these reasons among others. Just be careful not to disrupt anything that's going on. But I wanted to share this so that those of you who are reading posts with info like this in them will have a better understanding of what we are doing!
post #2 of 14
What are the reasons NOT to check your cervix besides the spread of bacteria? I started dilating pretty early last time and my midwife checked me several times before dd was born. She never mentioned any risks at all. With this pregnancy, I've read a lot of posts on this forum saying that these checks should be avoided but I just was wondering why since my midwife never mentioned anything? I haven't done any checks because last time it was just frustrating to know I was dilated for so long and nothing more was happening. I was just wondering for this time around in case I do get curious enough to check.
post #3 of 14
I was just going to make a post on this! Here is my reply to my thread from before where people were asking re: effacement and dilation.

This info does NOT apply if you think your waters broke - do not stick anything in your vagina in that situation!

Before I check, I wash my hands, then use Purell, and then some lube. Your cervix will be on the top of your vagina, up towards the back of the baby's head. Sometimes the baby will swivel or move when he/she feels you touching his head through the vaginal wall - it freaked me out a bit the first time I felt that, so just wanted to warn you! I am horrible about figuring out baby's station though, but you can tell if the baby has moved up or down if you check more than once.

Dilation - I measured my fingers (I have widish fingers) and so 3 fingers in is exactly 5cm on me. Doctors usually use 1 finger, and then the index and next finger for figuring dilation after that and guesstimate how far apart the fingers can go, so 1 finger to the baby's head (or butt) is 1ish cm, 2 fingers is 2ish (unless you have bigger fingers, I err on the small side of cm measuring because of this and because finger size varies). 2 a fingerswidth apart is 3cm and so on. It is way easier to just measure your fingers and do it that way though, as your fingers may be smaller or bigger. Also dilation is measured by how many fingers you can fit all the way to the baby's head or butt.

Effacement - your cervix starts out at roughly 4cm long, or your index finger to the 2nd knuckle. If you can fit your index in all the way and you are to the first knuckle, then you are roughly 50% effaced. If you cannot feel any lip of cervix at all, but just a hole, you are all the way effaced.

Anterior/Posterior Cervix - how anterior or posterior your cervix is can be a sign too. The cervix gets VERY posterior during pregnancy and starts to come down during labor to a more anterior position. If you really have to reach and/or can't find your cervix at all, you are more than likely pretty posterior. The easier it is to find, the more anterior it is.

Mucous Plug and/or spotting after - Chances are if you check your cervix, you *may* have some spotting and what looks like your plug afterward. Don't automatically assume that this is bloody show and you are going into labor within a few days - the cervix is very sensitive at this point and it does NOT take a lot to make it bleed a bit. Also, your mucous plug will regenerate if you are not going into labor soon (usually within 24 hours), and sometimes even if you are! Sex does the same thing, especially if it is rougher sex (although at this point, any sex would be nice! I am so ready for non-pregnant sex...). Just wanted to warn you all on that one so that you aren't checking at say 36 weeks and freaking out with "bloody show" that day or the next.

Waters Breaking - if you have had a child before and your waters broke early on, you may want to be extra careful if you check, because you *can* accidentally break your waters especially if you are prone to not so tough bags of waters. For some reason, mine is made out of Krypton :-D I cut my fingernails down so there was not as much of a risk of accidentally puncturing it.

Contractions After - Occasionally, you may have some contractions after, if you have been more invasive or your cervix is especially sensitive at that point. I try to do an in and out and not feel around too much to limit this. If you are prone to braxton hicks, be forewarned that checking has the potential to make them more noticeable/painful. I would also not check too early because you could possibly send yourself into labor.

Anyone have any more info? Maybe this can be a sticky.
post #4 of 14
Quote:
Originally Posted by Ligeia View Post
What are the reasons NOT to check your cervix besides the spread of bacteria?
Your own germs are preferable to someone else's... As to risks besides bacteria, the only ones I know about are the risk of possibly breaking your waters, or irritating your cervix enough to release prostaglandins which could bring on contractions. Usually you have to be pretty invasive to bring on the contractions though.
post #5 of 14
Great info everyone! Thanks!
post #6 of 14
Wow, great info--thanks!! I was just wondering about this. Early last week I was able to feel mine, and it was very hard. Since then, though (I've checked on two different days, several days apart), I can't feel it at all. Nothing. I was wondering what that meant, but it sounds like it's just still very posterior--I guess that means no impending early labor for me....
post #7 of 14
Quote:
Originally Posted by Ligeia View Post
What are the reasons NOT to check your cervix besides the spread of bacteria? I started dilating pretty early last time and my midwife checked me several times before dd was born. She never mentioned any risks at all. With this pregnancy, I've read a lot of posts on this forum saying that these checks should be avoided but I just was wondering why since my midwife never mentioned anything? I haven't done any checks because last time it was just frustrating to know I was dilated for so long and nothing more was happening. I was just wondering for this time around in case I do get curious enough to check.
Other than bacteria, there's not a whole lot of risks. It can cause some spotting, or theoritcally someone could accidently ruputure your membranes I suppose.

The main reason not to get your cervix checked routinely is exactly what you said- there's no real useful information. Dilating doesn't necessarily mean you'll be in labor soon, and not dilating doesn't mean you won't have your baby that same day. It can just play with your mind :P

On the other hand, if you're not going to read too much into it, there's nothing wrong with satisifying your curiousity, know what I mean?
post #8 of 14
Ughhhhh! I'm soooo aggravated! After reading this, I thought, "Oh, I'm surely going to be able to now!" I CAN NOT find the damn thing! And what is really aggravating is that my midwife says that it's so low that I should be able to feel it very easily! Why oh why can't I find it?!?! I insert my middle finger as far in as I possibly can before my finger runs out of length, and it's still just mushy tissue. I tried it with my pointer finger and my middle finger, I couldn't find it that way either. I'm so aggravated!

Thanks for the info anyhow... I think I'll try doing it while laying down, maybe with my legs above my head??? I just can't think of any way to do it... when I put the EPO in I can't ever feel it either. I wish that I either wouldn't be so interested in feeling it or I could feel it... I'm so frustrated!
post #9 of 14
Thread Starter 
Thank You kalamos23 super great info!

For those who still can't find it, have you tried reaching towards your belly while checking? It could be "pointing" in that direction. Just a thought!

Your own bacteria vs. someone else's is probably the better bet. And I agree that the main risks besides the bacteria are the accidental rupture and possibly causing contractions before you're really ready. Of course, if it does lead to true labor maybe your body was "ready"? : not sure.

Checking is pretty much useless. Unless of course you've been doing it for a long time and know certain changes to look for within your own body I suppose. I'm just very curious by nature!
post #10 of 14
I am bummed because I cant reach my cervix anymore, and I am 37 weeks and wanted a sneak peak. I check while I am on the toilet and bearing down seems to help, but not lately...
post #11 of 14
Great info! Thank you so much, I was one of those wanting to know I may try this tonight to see if all my contractions are getting me anywhere
post #12 of 14
Quote:
Originally Posted by logies-mom View Post
Ughhhhh! I'm soooo aggravated! After reading this, I thought, "Oh, I'm surely going to be able to now!" I CAN NOT find the damn thing! And what is really aggravating is that my midwife says that it's so low that I should be able to feel it very easily! Why oh why can't I find it?!?! I insert my middle finger as far in as I possibly can before my finger runs out of length, and it's still just mushy tissue. I tried it with my pointer finger and my middle finger, I couldn't find it that way either. I'm so aggravated!
I can never reach my cervix when I'm pregnant. Too much belly in the way, so I can't bend forward at all, and my arm/finger just isn't long enough. You're not alone!

Heck, I should be grateful I can reach my bits at all!
post #13 of 14
Quote:
Originally Posted by prothyraia View Post
I can never reach my cervix when I'm pregnant. Too much belly in the way, so I can't bend forward at all, and my arm/finger just isn't long enough. You're not alone!

Heck, I should be grateful I can reach my bits at all!
Me too.
post #14 of 14
Thanks for the info. I just wish I could reach mine so I could "see" for myself!
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