Carrying a precious life within you is a joyous journey but sometimes unexpected hurdles can arise. You learn new things about your anatomy that you never knew before. Cervical shortening, a condition where the cervix thins and shortens prematurely, is one such concern for pregnant women. But remember, managing pregnancy with cervical shortening is possible with knowledge, support and the right care.
Understanding cervical shortening
- The cervix, the lower part of the uterus, connects the uterus to the vagina. During pregnancy, it gets longer and creates a distance between the outside and your baby. Towards the end of the pregnancy, the cervix can shorten again to prepare for the delivery.
- Cervical shortening occurs when your cervix weakens, shortens or opens up too early during the pregnancy. Untimely cervical shortening or cervical insufficiency, can lead to premature opening of the cervix, increasing the risk of preterm birth.
- While cervical shortening can occur at any stage of the pregnancy, it is most common in the second trimester, i.e. between 14 to 27 weeks of pregnancy.
Who is at the risk of having cervical shortening?
- Unusual cervix shape: Women with irregularly shaped uterus or cervix can be more susceptible.
- Previous preterm birth: Women who've delivered early before are at higher risk.
- Multiple pregnancy: Carrying twins or triplets puts extra strain on the cervix.
- Cervical infections: Certain infections or previous injuries can weaken the cervix. Previous surgeries on the cervix can also weaken it.
- Congenital malformations: Some women naturally have a shorter cervix.
- Genetic disorder: Genetic conditions like Ehlers-Danlos syndrome can also cause cervical trauma.
Symptoms of cervical shortening
- Pelvic pressure or heaviness
- Vaginal discharge or spotting
- Frequent Braxton Hicks contractions
- Pain in your belly