{"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":"le-controle-du-col-de-luterus-permet-de-predire-le-debut-de-laccouchement","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/fr\/cervical-check-predict-when-labor-start\/","title":{"rendered":"Contr\u00f4les du col de l'ut\u00e9rus pendant la grossesse : Ce qu'ils peuvent et ne peuvent pas vous dire"},"content":{"rendered":"

Gr\u00e2ce \u00e0 des \u00e9missions de t\u00e9l\u00e9vision comme \"Les amis<\/a>Beaucoup d'entre nous connaissaient le concept de dilatation du col de l'ut\u00e9rus avant m\u00eame d'\u00eatre m\u00e8res (m\u00eame si, pour \u00eatre honn\u00eate, je ne me suis pas vraiment arr\u00eat\u00e9e pour r\u00e9fl\u00e9chir \u00e0 ce que repr\u00e9sentaient 10 centim\u00e8tres jusqu'\u00e0 ce que je sois enceinte !) Pour beaucoup d'entre nous, ce n'est que lorsque nous commen\u00e7ons \u00e0 compter les jours qui nous s\u00e9parent de la date d'accouchement de notre premier b\u00e9b\u00e9 que nous commen\u00e7ons vraiment \u00e0 apprendre comment notre corps se pr\u00e9pare au travail et \u00e0 l'accouchement, et comment il progresse au cours de ce processus. En particulier, nous commen\u00e7ons \u00e0 esp\u00e9rer entendre des nouvelles prometteuses sur la dilatation et l'effacement du col de l'ut\u00e9rus lors de nos derniers rendez-vous chez le m\u00e9decin. Mais un examen du col de l'ut\u00e9rus peut-il pr\u00e9dire le d\u00e9but du travail ? <\/p>\n\n\n\n

Effacement et dilatation<\/span><\/h2>\n\n\n\n

\"L'effacement est un terme qui fait r\u00e9f\u00e9rence \u00e0 la fa\u00e7on dont le col de l'ut\u00e9rus s'\u00e9tire, devenant plus mou, plus court et plus fin, avant et pendant le travail. Il se produit lorsque la t\u00eate du b\u00e9b\u00e9 tombe et pousse contre le col de l'ut\u00e9rus et est d\u00e9crit en pourcentage, par exemple \"30% effac\u00e9\". Une fois que le col de l'ut\u00e9rus commence \u00e0 s'amincir, il commence \u00e9galement \u00e0 s'ouvrir, ce que l'on appelle la \"dilatation\". Bien que la plupart des dilatations se produisent pendant le travail lui-m\u00eame, l'effacement et la dilatation peuvent tous deux commencer. semaines avant<\/em> le travail commence. \u00c0 partir de la 37e semaine de gestation, votre m\u00e9decin peut vous proposer de v\u00e9rifier votre dilatation, ce qui implique un examen au cours duquel il peut \u00e9galement v\u00e9rifier que le b\u00e9b\u00e9 a la t\u00eate en bas (bien qu'une v\u00e9rification du col de l'ut\u00e9rus ne soit pas n\u00e9cessaire). n'est pas le seul moyen<\/em> pour savoir si votre b\u00e9b\u00e9 a la t\u00eate en bas). Ces v\u00e9rifications avant le d\u00e9but du travail peuvent \u00eatre tr\u00e8s douloureuses. <\/p>\n\n\n\n

La dilatation permet-elle de savoir quand le travail commencera ?<\/h2>\n\n\n\n

Lorsque mon gyn\u00e9cologue obst\u00e9tricien m'a propos\u00e9 de faire un contr\u00f4le du col de l'ut\u00e9rus \u00e0 39 semaines, j'ai d\u00e9cid\u00e9 que l'inconfort ou la douleur potentiels d'un contr\u00f4le du col de l'ut\u00e9rus valaient la peine de savoir si l'inconfort et la douleur du troisi\u00e8me trimestre allaient bient\u00f4t se terminer (m\u00eame si je savais qu'il ne pourrait peut-\u00eatre m\u00eame pas me dire grand-chose). Malheureusement, mon gyn\u00e9cologue-obst\u00e9tricien est un m\u00e9decin, pas un m\u00e9dium, et je n'avais pas suffisamment progress\u00e9 pour qu'il puisse me donner des indications sur la date du travail.<\/p>\n\n\n\n

Comme le note l'\u00e9conomiste de la sant\u00e9 Emily Oster dans son livre de 2014 Attendre mieux<\/em>Elle ajoute que l'effacement du col de l'ut\u00e9rus, plus que la dilatation, peut donner des indications sur le temps qu'il vous reste \u00e0 attendre avant de rencontrer votre b\u00e9b\u00e9. Elle \u00e9crit : \"L'\u00e9tat du col de l'ut\u00e9rus a un certain pouvoir pr\u00e9dictif, surtout \u00e0 la date pr\u00e9vue ou apr\u00e8s la date pr\u00e9vue\" (mon contr\u00f4le du col de l'ut\u00e9rus a eu lieu avant la date pr\u00e9vue). Elle note qu'une \u00e9tude men\u00e9e au Royaume-Uni a r\u00e9v\u00e9l\u00e9 que \"pour les femmes dont le col \u00e9tait effac\u00e9 \u00e0 plus de 60 % (c'est-\u00e0-dire raccourci de moiti\u00e9) \u00e0 37 semaines, la quasi-totalit\u00e9 d'entre elles (environ 98 %) ont commenc\u00e9 le travail avant la date pr\u00e9vue pour l'accouchement. En revanche, pour les femmes dont l'effacement \u00e9tait inf\u00e9rieur \u00e0 40 %, presque aucune d'entre elles (moins de 10 %) n'a accouch\u00e9 avant la date pr\u00e9vue\".<\/p>\n\n\n\n

Le score de Bishop est un meilleur indicateur du d\u00e9but du travail que la seule dilatation du col de l'ut\u00e9rus.  <\/h2>\n\n\n\n

Oster recommande aux femmes de demander \u00e0 leur prestataire de soins de parler de l'effacement s'il ne mentionne que la dilatation, car il s'agit d'un meilleur indicateur pour pr\u00e9dire le moment o\u00f9 la femme commencera le travail. Il peut \u00e9galement \u00eatre utile de poser des questions sur le score de Bishop, un chiffre qui tient compte non seulement de l'effacement et de la dilatation, mais aussi de la position du col de l'ut\u00e9rus et de la position du b\u00e9b\u00e9, en plus de l'effacement.<\/p>\n\n\n\n

Le score de Bishop et le pourcentage d'effacement peuvent \u00e9galement aider les femmes qui subissent un d\u00e9clenchement \u00e0 \u00e9viter une c\u00e9sarienne, car \"plus vous \u00eates pr\u00eate, plus il est probable que le d\u00e9clenchement conduise \u00e0 un accouchement par voie vaginale\", note Oster. Par cons\u00e9quent, si une femme \"envisage un d\u00e9clenchement m\u00e9dical\" mais veut essayer d'\u00e9viter une c\u00e9sarienne, le fait de conna\u00eetre son score de Bishop peut l'aider.<\/p>\n\n\n\n

Les contr\u00f4les du col de l'ut\u00e9rus peuvent donner aux futures mamans de faux espoirs quant \u00e0 la date du d\u00e9but du travail ou \u00e0 la rapidit\u00e9 de sa progression. <\/h2>\n\n\n\n

Parce que la dilatation seule ne nous dit pas grand-chose sur le moment o\u00f9 le travail commencera, les contr\u00f4les du col de l'ut\u00e9rus peuvent malheureusement aussi donner de faux espoirs \u00e0 une femme qui a h\u00e2te d'en finir avec la grossesse et de rencontrer son b\u00e9b\u00e9 ! Beaucoup d'entre nous ont entendu des histoires de femmes qui \u00e9taient dilat\u00e9es de quelques centim\u00e8tres pendant des semaines ou, \u00e0 l'inverse, de femmes \u00e0 qui l'on a dit, lors de leur rendez-vous \u00e0 40 semaines, qu'elles n'\u00e9taient m\u00eame pas proches, et qui ont commenc\u00e9 le travail plus tard dans la m\u00eame journ\u00e9e. <\/p>\n\n\n\n

Les primo-m\u00e8res, en particulier, peut ne pas commencer \u00e0 se dilater avant le d\u00e9but du travail<\/a>. Pour ces raisons, et en raison de l'augmentation des risque d'infection<\/a>Il se peut que vous souhaitiez \u00e9viter les contr\u00f4les cervicaux \"de routine\" lors de vos rendez-vous avec le gyn\u00e9cologue obst\u00e9tricien avant la date de l'accouchement (en g\u00e9n\u00e9ral, les contr\u00f4les cervicaux lors des rendez-vous \u00e0 la date de l'accouchement ou apr\u00e8s celle-ci ne sont plus facultatifs - cependant, votre prestataire de soins devrait toujours <\/em>demander votre consentement avant tout examen ou proc\u00e9dure !)<\/p>\n\n\n\n

Quand faut-il faire un contr\u00f4le du col de l'ut\u00e9rus ?<\/h2>\n\n\n\n

Alors, pourquoi faire un contr\u00f4le du col de l'ut\u00e9rus pendant la grossesse ? Selon un article<\/a> Stephanie McNally et Patricia Scanlon, un contr\u00f4le du col de l'ut\u00e9rus est n\u00e9cessaire si vous pr\u00e9sentez des sympt\u00f4mes de travail (douleurs, saignements ou \u00e9coulements transparents ou roses collants) ou si vous devez subir un d\u00e9clenchement, que ce soit pour des raisons m\u00e9dicales ou par choix. Encore une fois, plus vous \u00eates dilat\u00e9e au moment du d\u00e9clenchement, moins vous risquez d'avoir besoin d'une c\u00e9sarienne.<\/p>\n\n\n\n

Vous subirez \u00e9galement un contr\u00f4le du col de l'ut\u00e9rus \u00e0 votre arriv\u00e9e \u00e0 l'h\u00f4pital ou \u00e0 la maison de naissance, puis plus tard pendant le travail, afin de vous assurer que vous \u00eates pr\u00eate \u00e0 pousser. \u00c0 ce moment-l\u00e0, ces informations sont beaucoup plus significatives.<\/p>\n\n\n\n

En fin de compte, votre fournisseur ne devrait que offrir <\/em>un contr\u00f4le du col de l'ut\u00e9rus lors d'un examen pr\u00e9natal, et non pas exiger qu'il soit effectu\u00e9 - et vous pouvez dire oui ou non. Si vous avez des questions sur les risques et les avantages qu'il vous apportera individuellement, n'h\u00e9sitez pas \u00e0 les poser.<\/p>\n\n\n\n

Enfin, tenez bon ! Personne ne reste enceinte toute sa vie. Vous tiendrez bient\u00f4t votre b\u00e9b\u00e9 dans vos bras.<\/p>\n\n\n\n

Lecture compl\u00e9mentaire : <\/p>\n\n\n\n

Les 6 choses que toute femme envisageant un accouchement naturel doit savoir<\/a><\/p>\n\n\n\n

L'accouchement naturel, une belle option<\/a><\/p>\n\n\n\n

Au-del\u00e0 de la p\u00e9ridurale : les options de gestion de la douleur pendant l'accouchement<\/a><\/p>\n\n\n\n

Vous allez accoucher aux \u00c9tats-Unis : quelles sont vos options ? <\/a><\/p>\n\n\n\n

Que peut faire une doula pour vous ?<\/a>Votre r\u00e9gime alimentaire pendant la grossesse est-il \u00e0 la pointe de la science ?<\/a><\/p>","protected":false},"excerpt":{"rendered":"Gr\u00e2ce \u00e0 des s\u00e9ries t\u00e9l\u00e9vis\u00e9es comme \"Friends\", beaucoup d'entre nous connaissaient d\u00e9j\u00e0 le concept de dilatation du col de l'ut\u00e9rus...","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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