How did people get here?
With Grand Rounds and Mothering.com, I know how many of you happened upon me. I am linked to several other sites, but must say, the most interesting has to be the searches that lead to my blog.
My partner tends to say everything phonetically (mostly to drive me bonkers), so she said "Kuh-nocked" and "guh-nat," pronouncing each letter. Our entire family says "Tore-tiL-uhs" and "Kay-suh-diL-uhs" because of Napolean Dynamite. Google comes out "Goog-eL-eh." I can't even see it anymore without saying it like that! Just thought you should know.
The tracker I use, StatCounter, shows me how many people use which search engines. If you are advertising in search engines, you might be interested to know that 98% of the searches come from Google. 1% from Yahoo and 1% from AOL (people still have that?).
Those hundreds of Googles are the most interesting in the world to see. I figured I should "answer" some of the requests for information periodically. The picture of the amniohook came from a Google search - someone wanted to see what it looked it, so I put one up. Kind of fun, eh?
Some of the search words (or string of words) are odd and confusing how it came to my site, but I have heard others also having strange paths to their door, so I'm not alone. Some of the more odd include: definition cou de gras (sic), pictures of women stabbed inside the navel, temporary crown fell out again, fists up vaginas, mom examines penis and braless smoked piercings.
The grand majority are valid and many are looking specifically for me (as navelgazing midwife or by the name of a post I've written).
Because I strive to educate, I want to answer some of the search requests. Even if that person never comes back, I'm of the belief that if one person has the question, so will many others.
A common question is about posterior cervices.
Cervices (plural of cervix) are mobile in the vagina. They move from front to back, side to side and round and round. Non-pregnant, they tend to stay in the same neighborhood, but in pregnancy, the head's depth can bring the cervix front and center, or the head can come down while the cervix is still posterior (facing more towards the back of the vagina).
When we do a vaginal exam and find a cervix posterior, it means we feel the baby's head first and have to either reach around the head to find the cervical os or sometimes we "walk" the cervix up with our fingers.
One major thing a woman can do to bring her cervix more forward for an exam is to sit on her fists. I have women make a fist and then, keeping them upright, put them under her hips. That position almost always works wonders for finding a posterior cervix. Not always though.
When a woman is in labor, the uterus contracting brings the cervix forward - where it needs to be for the baby to come out. If a woman is having vaginal exams (or doing them herself), it's a pretty good indication of active labor, whether the cervix is anterior (nearer the front) or posterior. Anterior would signal active labor; posterior usually means there's some work still do to. Of course, there are always exceptions! But generally, this is the case.
Before labor, having an anterior or posterior labor has zero indication of anything. Your provider might say it's a great sign for it to be anterior, but I've seen many a posterior cervix in early labor bring a baby out a few hours after that exam. An anterior cervix can take its own sweet time dilating. Before active labor, I'd not give any credence to where the cervix is at all.
As far as I can tell, having the cervix move from posterior to anterior isn't any more work or cause any more pain during labor. Dilating is enough of an attention-getter!
One more point: If people keep their hands out of your vagina, they wouldn't know where your cervix is and it wouldn't matter one iota. The baby comes out. Really.
More Word Searches to come!