Cervical Dilation Chart: How to Measure Labor Progress by Centimeters

Overview:
Cervical dilation refers to how open the cervix is during labor — and it’s one of the key signs your body is preparing for childbirth. This guide breaks down the stages of dilation from 0 to 10 cm and what each stage means for labor progression.


🔍 What Is Cervical Dilation?

Cervical dilation is measured in centimeters (cm) from 0 (closed) to 10 (fully open). It tells your healthcare provider how far labor has progressed and when it’s time to push.


📏 Cervical Dilation Stages Explained

0–3 cm: Early Labor (Latent Phase)

  • The cervix begins softeningthinning (effacing), and dilating.
  • You may feel mild, irregular contractions.
  • Duration: Several hours to a couple of days, especially for first-time moms.
  • Tip: This is usually the phase to stay at home, rest, hydrate, and time contractions.

🔹 Visual size comparison: A blueberry to a small grape.


4–6 cm: Active Labor Begins

  • Contractions become stronger, longer, and more regular.
  • This is typically when you’ll be admitted to the hospital or birthing center.
  • The cervix dilates more rapidly.
  • You may need pain relief options discussed with your provider.

🔹 Visual size comparison: A lime wedge to a small egg.


7–9 cm: Transition Phase (Most Intense)

  • Contractions are very strong, occurring every 2–3 minutes.
  • You may feel shaky, nauseous, or overwhelmed — all normal signs.
  • This is the shortest but most intense phase.
  • Emotional support and breathing techniques are crucial here.

🔹 Visual size comparison: A plum to a large kiwi.


10 cm: Full Dilation — Time to Push

  • The cervix is completely open and ready for the baby to pass through the birth canal.
  • You’ll feel the urge to bear down and start pushing (second stage of labor).
  • Delivery can begin once dilation is complete and the baby is well-positioned.

🔹 Visual size comparison: A bagel or a large orange.


📌 Summary Chart

Dilation (cm)Stage of LaborWhat to Expect
0–3 cmEarly laborMild, irregular contractions
4–6 cmActive labor beginsStronger, more frequent contractions
7–9 cmTransition phaseMost intense, shortest stage
10 cmFull dilationTime to push and deliver the baby

👩‍⚕️ OB-GYN Tip:

Cervical dilation is just one part of labor assessment. Providers also check effacement (thinning), baby’s position, and contraction pattern to get the full picture.

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