how much do you have to be dilated to go 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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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. Most pregnant women spend some time wondering when they will go into labor, especially as the due date draws near.
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When to go to the hospital with back labor During early labor (when contractions are irregular, coming every five minutes or more, and lasting about 30 to 45 seconds each), you're best off resting at home.
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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. Normally, it takes about 15 minutes to place the epidural catheter and for the pain to start subsiding and another 20 minutes to go into full effect.
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This phase typically lasts from three to five hours and continues from the time your cervix is 3 cm until it is dilated to 7 cm. True labor produces signs you don't want to ignore. Your contractions will last about 45 seconds to a minute and allow you only three to five minutes in between.
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Dilation: Your cervix opens. Dilation is checked during a pelvic exam and measured in centimeters (cm), from 0 cm (no dilation) to 10 cm (fully dilated). Typically, if you're 4 cm dilated, you're in the active stage of labor; if you're fully dilated, you're ready to start pushing.
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On top of the contractions, you may feel pressure or pain in your back. On average, it takes one to two hours for the cervix to dilate every centimeter from six centimeters to 10 centimeters. Therefore, this stage lasts around four to eight hours, but it can last longer, according to the Mayo Clinic.
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What Is the 411 Rule? According to the "411 Rule" (commonly recommended by doulas and midwives), you should go to the hospital when your contractions are coming regularly 4 minutes apart, each one lasts at least 1 minute, and they have been following this pattern for at least 1 hour.
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When to go to the Hospital. Most physicians and midwives suggest contacting them when your contractions are five minutes apart and lasting 60 seconds and you have had this activity for about an hour.
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Active labor usually lasts about 4 to 8 hours. It starts when your contractions are regular and your cervix has dilated to 6 centimeters. In active labor: Your contractions get stronger, longer and more painful.
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Once your cervix is dilated to 3 centimeters, the Foley catheter falls out on its own. In some cases, this is enough to start active labor. If not, your doctor might resort to a different method of induction.
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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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Once the cervix is around 4 cm dilated and you are having regular contractions we finally say you are “in labour”! During your induction all pain relief options are available for you.
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Dilation: Your cervix opens. Typically, if you're 4 cm dilated, you're in the active stage of labor; if you're fully dilated, you're ready to start pushing.
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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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Early labor will last approximately 8-12 hours. Your cervix will efface and dilate to 4 cm. Contractions will last about 30-45 seconds, giving you 5-30 minutes of rest between contractions. Contractions are typically mild and somewhat irregular but become progressively stronger and more frequent.
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Takeaway. If your contractions are 5 minutes apart, lasting for 1 minute, for 1 hour or longer, it's time to head to the hospital. (Another way to remember a general rule: If they're getting “longer, stronger, closer together,” baby's on their way!)