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Related to Cervical effacement: Cervical dilation, Bishop score
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Vaginal examination provides a variety of information, such as fetal presentation, position and descent of the presenting part along with information on cervical effacement, consistency and dilatation of the cervix (Thorpe & Anderson, 2006).
The women were dilated at least 3 cm with full cervical effacement but were dilating less than 1 cm per hour.
Systemic or epidural analgesia was initiated when there were regular contractions at 5 minute intervals associated with progressive cervical effacement and dilatation of 3-4cm.