Expert: Dorothy H, LCCE - 2/16/2010

Question
Hello,
   I am 36 weeks pregnant, a primi-aged 33. I was diagnosed with mild IUGR on USG, I have tried to take rest and supplemeent my diet. Yesterday I went to my Doc, who told me I was i finger dilated, cervix taken up,with head engaged, but as such I did not have no pains. Now I am experiencing a perpetually contracted uterus, somehwhat like Braxton hicks but with no pain or anything. Movements of the baby seem ok. What could this perpetually contracted uterus signigy?? Also when can I expect to deliver???/go into labor???? thank you.

Answer
Hi Meher,


Uterine activity can vary, and some women do experience cramping/contractions like you described. Make sure that you are drinking enough fluids; if you are dehydrated at all, your uterus may contract more (but not contractions that lead to labor)

If your doctor did an aggressive exam (for example, if it was a painful exam) what you are feeling may be a result of that.  Some doctors will do something called sweeping the membranes during an exam, which may cause the kind of contractions you are experiencing.  Sweeping the membranes can cause labor to start if your body is ready for labor, but if your body isn't ready, it just causes cramping.

You can expect to go into labor sometime in the next 6 weeks.  It may be next week, or it may be a month from now, or 6 weeks from now.  Most babies will come between 37-42 weeks.  Having some cervical change does not mean labor will happen sooner; it just means your body is getting some of the work done now.

Your baby will come when he or she is ready.  Unfortunately we don't know when that will be.  In the meantime, try to distract yourself and keep busy (even if you are resting) Soon you will be holding your baby.

Sincerely,

Dorothy H, LCCE