{"id":15239,"date":"2022-07-15T11:14:44","date_gmt":"2022-07-15T16:14:44","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=15239"},"modified":"2025-01-16T13:00:09","modified_gmt":"2025-01-16T19:00:09","slug":"el-control-del-cuello-uterino-predice-el-inicio-del-parto","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/es\/cervical-check-predict-when-labor-start\/","title":{"rendered":"Controles cervicales durante el embarazo: Lo que pueden y no pueden decirle"},"content":{"rendered":"

Gracias a programas de televisi\u00f3n como \"Amigos<\/a>Muchas de nosotras ya conoc\u00edamos el concepto de dilataci\u00f3n cervical incluso antes de ser madres (aunque, para ser sincera, yo no me par\u00e9 a pensar en cu\u00e1nto eran 10 cent\u00edmetros hasta que me qued\u00e9 embarazada). Para muchas de nosotras, s\u00f3lo cuando empezamos a contar los d\u00edas que faltan para que nazca nuestro primer beb\u00e9 empezamos a saber realmente c\u00f3mo se prepara nuestro cuerpo para el parto y c\u00f3mo progresa a lo largo del mismo. En particular, en las \u00faltimas visitas al m\u00e9dico esperamos recibir noticias prometedoras sobre la dilataci\u00f3n y el borramiento cervicales. Pero, \u00bfpuede un control cervical predecir el inicio del parto? <\/p>\n\n\n\n

Desplazamiento y dilataci\u00f3n<\/span><\/h2>\n\n\n\n

El \"borramiento\" es un t\u00e9rmino que se refiere a la forma en que el cuello uterino se estira, volvi\u00e9ndose m\u00e1s blando, m\u00e1s corto y m\u00e1s fino, antes y despu\u00e9s del parto. Se produce cuando la cabeza del beb\u00e9 desciende y empuja contra el cuello uterino y se describe como un porcentaje, como \"30% borrado\". Una vez que el cuello uterino empieza a dilatarse, tambi\u00e9n empieza a abrirse, lo que se denomina \"dilataci\u00f3n\". Aunque la mayor parte de la dilataci\u00f3n se produce durante el parto, tanto el borramiento como la dilataci\u00f3n pueden comenzar semanas antes<\/em> Comienza el parto. A partir de la semana 37 de gestaci\u00f3n, el profesional sanitario puede ofrecerle comprobar su dilataci\u00f3n, lo que implica un examen durante el cual tambi\u00e9n puede verificar que el beb\u00e9 est\u00e1 cabeza abajo (aunque una comprobaci\u00f3n cervical no es la \u00fanica manera<\/em> para saber si su beb\u00e9 est\u00e1 cabeza abajo). Estas comprobaciones antes de que empiece el parto pueden ser muy dolorosas. <\/p>\n\n\n\n

\u00bfEl grado de dilataci\u00f3n indica cu\u00e1ndo va a empezar el parto?<\/h2>\n\n\n\n

Cuando mi obstetra\/ginec\u00f3logo me ofreci\u00f3 hacerme un control cervical a las 39 semanas, decid\u00ed que las posibles molestias o el dolor de un control cervical merecer\u00edan la pena para saber si las molestias y el dolor del tercer trimestre terminar\u00edan pronto (a pesar de que sab\u00eda que tal vez no podr\u00eda decirme gran cosa). Por desgracia, mi obstetra\/ginec\u00f3logo es m\u00e9dico, no vidente, y yo no hab\u00eda progresado lo suficiente como para que pudiera darme ninguna indicaci\u00f3n de cu\u00e1ndo se producir\u00eda el parto.<\/p>\n\n\n\n

Como se\u00f1ala la economista de la salud Emily Oster en su libro de 2014 Esperar m\u00e1s<\/em>En su art\u00edculo, el borramiento cervical, m\u00e1s que la dilataci\u00f3n, puede dar alguna pista sobre el tiempo que te queda para conocer a tu beb\u00e9. Escribe: \"El estado del cuello uterino tiene cierto poder predictivo, sobre todo en la fecha prevista del parto o despu\u00e9s de ella\" (mi revisi\u00f3n del cuello uterino fue antes de la fecha prevista del parto). Se\u00f1ala que un estudio realizado en el Reino Unido descubri\u00f3 que \"en las mujeres con un borramiento superior al 60% (es decir, con un acortamiento medio) a las 37 semanas, casi todas (alrededor del 98%) se pusieron de parto antes de la fecha prevista\". En cambio, en el caso de las mujeres con menos del 40% de borramiento, casi ninguna (menos del 10%) se puso de parto antes de la fecha prevista\".<\/p>\n\n\n\n

La puntuaci\u00f3n de Bishop es un mejor indicador del inicio del parto que la dilataci\u00f3n cervical por s\u00ed sola.  <\/h2>\n\n\n\n

Oster recomienda que la mujer se asegure de preguntar al profesional sobre el borramiento si s\u00f3lo menciona la dilataci\u00f3n, ya que es un mejor indicador del momento en que la mujer se pondr\u00e1 de parto. Tambi\u00e9n puede ser \u00fatil preguntar por la puntuaci\u00f3n Bishop, una cifra que no s\u00f3lo incluye el borramiento y la dilataci\u00f3n, sino tambi\u00e9n la posici\u00f3n del cuello uterino y la posici\u00f3n del beb\u00e9, adem\u00e1s del borramiento.<\/p>\n\n\n\n

La puntuaci\u00f3n Bishop y el porcentaje de borramiento tambi\u00e9n pueden ayudar a las mujeres que se someten a una inducci\u00f3n a evitar una ces\u00e1rea, porque \"cuanto m\u00e1s preparada est\u00e9, m\u00e1s probable es que la inducci\u00f3n conduzca a un parto vaginal\", se\u00f1ala Oster. Por lo tanto, si una mujer est\u00e1 \"considerando una inducci\u00f3n m\u00e9dica\" pero quiere intentar evitar una ces\u00e1rea, conocer su puntuaci\u00f3n Bishop puede serle de ayuda.<\/p>\n\n\n\n

Los controles del cuello uterino pueden dar falsas esperanzas a las futuras mam\u00e1s sobre el momento en que se iniciar\u00e1 el parto o la rapidez con que progresar\u00e1. <\/h2>\n\n\n\n

Dado que la dilataci\u00f3n por s\u00ed sola no nos dice mucho sobre cu\u00e1ndo comenzar\u00e1 el parto, por desgracia, los controles del cuello uterino tambi\u00e9n pueden causar falsas esperanzas a una mujer que anhela terminar el embarazo y conocer a su beb\u00e9. Muchas de nosotras hemos o\u00eddo historias de mujeres que llevaban semanas con unos pocos cent\u00edmetros de dilataci\u00f3n o, por el contrario, de mujeres a las que en su cita de las 40 semanas les dijeron que ni siquiera estaban cerca y luego se pusieron de parto ese mismo d\u00eda. <\/p>\n\n\n\n

Las madres primerizas, en particular, puede no empezar a dilatarse hasta el parto activo<\/a>. Por estas razones, y por el aumento riesgo de infecci\u00f3n<\/a>Por lo general, los controles del cuello uterino en las consultas de obstetricia antes o despu\u00e9s de la fecha prevista del parto ya no son opcionales. siempre <\/em>solicitar su consentimiento antes de cualquier examen o procedimiento).<\/p>\n\n\n\n

\u00bfCu\u00e1ndo es necesario un control del cuello uterino?<\/h2>\n\n\n\n

Entonces, \u00bfpor qu\u00e9 hacerse un control del cuello uterino durante el embarazo? Seg\u00fan un art\u00edculo<\/a> por la Dra. Stephanie McNally y Patricia Scanlon, un control del cuello uterino es necesario si tienes s\u00edntomas de parto (dolor, hemorragia o secreci\u00f3n pegajosa transparente o rosada) o si te van a inducir el parto, ya sea por razones m\u00e9dicas o por elecci\u00f3n propia. De nuevo, cuanto m\u00e1s dilatada est\u00e9s cuando te induzcan el parto, menos probabilidades tendr\u00e1s de necesitar una ces\u00e1rea.<\/p>\n\n\n\n

Tambi\u00e9n te har\u00e1n un control del cuello uterino cuando llegues al hospital o al centro de maternidad y, m\u00e1s adelante, durante el parto, para asegurarse de que est\u00e1s preparada para empujar. Para entonces, sin embargo, esa informaci\u00f3n es mucho m\u00e1s significativa.<\/p>\n\n\n\n

En \u00faltima instancia, su proveedor s\u00f3lo debe oferta <\/em>un control del cuello uterino en un examen prenatal, no exigir que se realice, y usted puede decir s\u00ed o no. Si tiene alguna duda sobre los riesgos y beneficios que le proporcionar\u00e1 individualmente, no deje de preguntar.<\/p>\n\n\n\n

Por \u00faltimo, \u00a1aguanta! Nadie se queda embarazada para siempre. Pronto tendr\u00e1s a tu beb\u00e9 en brazos.<\/p>\n\n\n\n

Lecturas complementarias: <\/p>\n\n\n\n

Las 6 cosas que toda mujer que se plantee un parto natural debe saber<\/a><\/p>\n\n\n\n

Dar a luz de forma natural, una hermosa opci\u00f3n<\/a><\/p>\n\n\n\n

M\u00e1s all\u00e1 de la epidural: opciones para el tratamiento del dolor del parto<\/a><\/p>\n\n\n\n

As\u00ed que va a dar a luz en Estados Unidos: \u00bfqu\u00e9 opciones tiene? <\/a><\/p>\n\n\n\n

\u00bfQu\u00e9 puede hacer por ti una doula?<\/a>\u00bfSu dieta durante el embarazo est\u00e1 al d\u00eda con la ciencia?<\/a><\/p>","protected":false},"excerpt":{"rendered":"Gracias a series de televisi\u00f3n como \"Friends\", muchos de nosotros est\u00e1bamos familiarizados con el concepto de dilataci\u00f3n cervical incluso...","protected":false},"author":78,"featured_media":15240,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5378,5185],"tags":[6195,5457],"class_list":{"0":"post-15239","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-labor-delivery","8":"category-pregnancy-childbirth","9":"tag-labor-and-delivery","10":"tag-pregnancy-health","11":"cs-entry","12":"cs-video-wrap"},"acf":[],"yoast_head":"\nCan a cervical check predict the start of labor?<\/title>\n<meta name=\"description\" content=\"Can a cervical check predict when labor will start? 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