What Is Cervical Insufficiency?
Doctors define a cervical insufficiency as one that is weak and can open well before your baby is due.
Your cervix is a tunnel-like opening at the bottom of your uterus.
A healthy cervix stays long and tightly closed until your labor begins. When you're ready to give birth, your cervix thins out, shortens, and dilates (opens) so your baby can pass through.
With cervical insufficiency, it dilates too early. This happens in about 1 out of every 100 pregnancies.
It may cause miscarriage in your 2nd or 3rd trimester or premature delivery.
Types of cervical insufficiency
A cervical insufficiency is one or both of these:
- Short (less than 25 mm long).
- Structurally weak.
Cervical insufficiency causes
An abnormally short cervix or one that is weak might be due to:
- A birth defect in the shape of your cervix, or in your cervical tissue causing it to shorten prematurely when you're pregnant.
- Exposure to a type of estrogen called diethylstilbestrol (DES) while you were in your mother's womb.
- An injury to your cervix from a prior pregnancy, surgery, or treatment like a D&C.
- A past miscarriage or an abortion.
Many times, doctors don't know the cause of cervical insufficiency.
Cervical insufficiency risk factors and complications
If you had a previous pregnancy loss due to cervical insufficiency, there's up to a 30% chance it may happen again.
But, in a first pregnancy, most women don't know if they have this problem.
And doctors don't routinely check for it during your prenatal visits unless you have risk factors such as:
- A past miscarriage in your 2nd or 3rd trimester.
- A prior premature delivery that happened quickly and without contractions.
- Your mother took DES while pregnant with you.
As your unborn baby grows, their weight presses against your cervix. That can cause a cervical insufficiency to open even without contractions.
Left untreated, it increases your risk of pregnancy loss or early labor.
How to prevent cervical insufficiency
You can't prevent this condition, but there are ways of managing the risks it creates, as discussed below.
It's crucial to get routine prenatal care so your doctor can watch for any changes in your cervix. They can also refer you to a team of high-risk pregnancy specialists if needed.
If you're at risk, there are tests to diagnose it and methods that can help you have a healthy pregnancy.
Why choose UPMC Magee-Womens Hospital for cervical insufficiency care?
- Maternal fetal medicine at Magee offers care for high-risk pregnancies from national and global experts.
- Our skilled team knows how to diagnose and treat cervical insufficiency.
- We're trained in evidence-based obstetrical care for women with complex pregnancies