Pregnancy

What is cervical incompetence?


  • An incompetent cervix only appears in 1 in 100 pregnancies.
  • Almost 25% of babies aborted in the second trimester are due to incompetent cervix.

During pregnancy, the cervix must remain tightly closed until just before delivery. The cervical incompetence is when the cervix becomes so weak that it opens prematurely, and can lead to premature labor or miscarriage.

This problem is also known as cervical insufficiency or incompetent cervix.

What are the signs of cervical incompetence?

Cervical insufficiency or incompetence does not usually produce any symptoms, although in some cases a little spotting may appear.

Many cases of incompetent cervix are not diagnosed until after a woman has already had a miscarriage due to incompetent cervix.

Why does cervical incompetence occur?

An incompetent cervix can be caused by:

  • malformed cervix.
  • after having surgery on the cervix.
  • cervical cancer or precancerous changes in the cervix.
  • damage after childbirth.
  • previous trauma to the cervix.

What is the treatment for cervical incompentence?

Treatment for an incompetent cervix is ​​the cerclage.

It is a procedure by which the cervix is ​​sewn, closing it to reinforce it. It is usually done between 14-16 weeks of pregnancy, and is removed between 36 to 38 weeks to prevent any problems when you go into labor. It is performed under anesthesia and on an outpatient basis.

Bed rest is also often recommended to avoid excess stress on the cervix.

Related topics: What is cervical incompetence?

  • Do you know how to recognize emergency situations in pregnancy
  • Complications in pregnancy


Video: Cervical Insufficiency and Pre-Term Birth Video - Brigham and Womens Hospital (January 2021).