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While the cervix is effacing and dilating, what is the uterus doing to expel the baby?



The rhythmic, powerful uterine contractions cause the cervical changes. Cervical change doesn’t usually happen without uterine contractions.

The contractions are a physical tightening of the entire uterus. All those uterine smooth muscles work together in concert to squeeze the infant out as well as when the mother pushes. Of course the mother has to push to actually get the baby out, but the uterus itself is expelling the baby with the uterine contractions.


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