No effect on the cervix. Membranes are bulging during contractions. No bulging of the membranes. Not relieved by antispasmodics or sedatives. Can be relieved by antispasmodics and sedatives.
Labour is usually starts several hours to few days after show.
A closed cervix is a reliable sign that labour has not begun. In multigravidae the cervix may admit the tip of the finger before onset of labour. Which bulges through the cervix and becomes tense during uterine contractions. During which careful observation for the patient, particularly for signs of postpartum haemorrhage is essential. Routine uterine massage is usually done every 15 minutes during this period.