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Prelabour
and Engagement
What is prelabour
Prior to labour, the cervix undergoes
a process, sometimes called ripening, in which it becomes thinner (effaced),
more pliable and slightly dilated. The beginning of cervical effacement
and dilation is known as prelabour. This can precede labour by a full month
or even just a few hours if it is your second pregnancy. In your ninth
month, the doctor looks out for certain signs of imminent labour. These
are signs that you might even be able to see for yourself
What is "engagement"
(sign of prelabour)
In first time pregnancies, the foetus
begins its descent into the pelvis, two or four weeks before the onset
of labour. This is 'engagement'. In subsequent pregnancies, this could
take place just a couple of hours before real labour begins. Besides
this, your breathlessness will considerably decrease as the foetus moves
down, away from the lungs. You will automatically feel an increased pressure
in the pelvis and on the rectum.
You won't gain much weight after
this. In fact, some women have been known to even lose a couple of pounds.
You will find a marked change in your energy levels. Some women get increasingly
tired because of the excessive weight and others experience a sudden spurt
of energy in preparation for the arrival of the little one (called the
'nesting instinct').
What is "lightening"
or "dropping". Is it the same as engagement
Lightening or dropping is the descent
of the baby into the pelvis in the latter weeks of pregnancy. This
is not the same as engagement where the baby's head (unless it is breech,
in which case it is the buttocks) moves down to the level of the ischial
spines and gets "engaged". Lightening is accompanied by less shortness
of breath, decreased pressure in the stomach, and the feeling that the
baby has "dropped". It also increases pressure in the pelvis and
backache, leads to more frequent urination and constipation, the initial
appearance or aggravation of haemorrhoids and varicose veins in the legs.
Many women also complain of swelling of the legs and feet, and possibly
more difficulty in walking.
If my baby hasn't yet
"engaged". Will my delivery be delayed
The term for the foetus moving into
the birth canal is known as "engagement". In a first time pregnancy, this
engagement takes place 2 or 3 weeks before delivery. In subsequent
pregnancies, it may occur just before the onset of labour. If this is your
first pregnancy, then it is quite possible that engagement might have occurred
without your realizing it. Your doctor will be checking for this engagement
through an internal examination. Since engagement and dilatation of the
cervix can occur anytime over a few hours or even a few weeks, not having
your baby's head engaged in the cervix is not indication that you will
go past your due date.
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