10/12/2025
Something I get asked so frequently as a midwife is when do you think the baby will be born, particularly following a vaginal examination.
Listen…
🔮 You’re cervix is not a crystal ball 🔮
And if I had the ability to accurately predict when babies would be birthed it would be some sort of magic 🪄
🔮 The dilation of your cervix will not tell me when you’re baby will be born or how long it will take, but a vaginal examination can give your birth care provider information about other things…
🔮 Hydration, the length, effacement, position and consistency of your cervix, the position of your baby in the womb, if their head is flexed or deflexed and how low or high their head is.
🔮 All of these things can support with making decisions in labour if you wish to have a vaginal examination or VE. Particularly if your labour and birth is not going as you expected.
🔮 It’s also important to remember that birth is not linear, you could have a VE and be told you are 4 cm and your baby is born 12 hour later, or you could have your baby 45 minutes later.
🔮 There are also external signs that you are heading towards full dilation, the purple line that goes up the bum crack, the rhombus of Michaelis where the pelvis shape changes due to the babies position, vocal changes, movement changes and opening you’re bowels 💩
🌸🔮 It is not necessary to have vaginal examinations when birth is unfolding - they do however hold some value if birth is not going as expected and more information could support well informed decisions following thorough conversations with your midwife or doctor 🔮🌸