Age 26 – Torn Cervix

This photos is from a 26 year old woman who has had one vaginal birth, 19 months before this photo was taken.  The recovery from the birth of her 9 1/2 pound baby girl seemed slow as she bled for 2 months postpartum and experienced much pressure and pain.

Since she was breastfeeding, she did not ovulate for 14 months after her son was born (lactational amenorrhea).  She began ovulating and getting her period again 14 months postpartum.  She noticed that, depending on her cervix’s position during different days of her cycle, her cervix felt very tender after intercourse with her husband.  She felt deep ridges in her cervix with her finger and started asking questions.

This is a photo she took using a speculum.  She reports that her cervix seems to clearly be torn.


It is uncommon for a cervix to tear during labor and birth, and this woman still does not know what caused the tear.  Here is a little about the birth story.  She planned to have a home waterbirth with a midwife in attendance.  She dilated to 3cm and remained there for 9 hours with no progression.  Her contractions were 1 min to 1 1/2 min apart for this entire time.  Her midwife did a vaginal exam and discovered that she had a posterior, asynclitic baby (posterior means that the baby’s position is back-to-back with the mother – or face-up- and ascynclitic means that the head coming down at an angle and is not evenly applied to the cervix).  The midwife used a Rebozo technique (a Mexican tradiation for rotating babies using a large sarong-like cloth wrapped around the mama to ‘rock’ the baby into a better position) and internally used her fingers to rotate the baby’s head into a more favorable position.  Within 45 minutes the mother was checked again, this time completely dilated to 10 cm.  She pushed for 3 1/2 hours to finally deliver a 9 1/2 baby with a slight shoulder dystocia.  Her awesome midwife jumped into the birthing pool to get her shoulders free.

 

Postpartum, her midwife noticed that her vitals were abnormal and her body looked as if it were going into shock: a high pulse, low blood pressure, and extreme dizziness.  The midwives assumed that she was having some blood clotting issues so they did a manual sweep of her uterus to make sure that she didn’t have any retained placenta or tears.  It took about five hours of constant attention to get her vitals back to normal, but they did finally return enough to settle everyone down and not require hospital transport.

 

Her doctor recommend that after she conceives the next time that she measure her cervix and periodically have the midwives check to make sure that the cervix isn’t becoming too short.

 

The mother still has unanswered questions about how her cervix tore.  Common causes for cervical tears include pushing before completely dilated, pushing against a cervix that is slightly swollen,  if the baby’s head is slightly misapplied to the cervix, or the baby has wide shoulders.

The mother is satisfied with her care during the birth an postpartum and hopes this photo answers some questions for mothers having similar experiences.

33 thoughts on “Age 26 – Torn Cervix

  1. Instead of employing the “Wait and See” method (which has failed for so many of us) why not be pro-active and seek the advice of a specialist who performs Transabdominal Cerclage? Why not preserve the length, strength and integrity of the cervical tissue prior to any potentially dangerous situations, putting the patient at risk for preterm labor (or PProm) and possible loss of the pregnancy? A cervix this compromised should be evaluated by a Maternal Fetal Medicine specialist who is trained in such a procedure. A Transvaginal Suture may not be sufficient.
    JMO FWIW

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    Whit Reply:

    I have seen a doctor about this and unfortunately, there is little experience amongst any specialist in my area. They have very little advice to offer me and no real recomendations. My problem with assuming that I NEED a cerclage is starting off the game by putting a needle through my cervix over and over based on the idea that something may happen. I feel comfortable with monitoring my cervix with vaginal exams and resorting to something as drastic as that ONLY if needs be rather than assuming that my body is imcompetent.

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    Noira Reply:

    I am 21 weeks pregnant and my cervix tore significantly during my first birth, my daughter was moderately large but I think the issue was related to a lip of cervix that was pinched on her head when I started spontaneously bearing down (that is my own interpretation from what happened during my labor and delivery). The midwives at the practice I go do have expressed no concern over it, they mentioned possibly monitoring cervical length later on but I don’t get the feeling they will do it unless I request it.

    The last couple days though I suddenly have a weird texture on my cervix which is sort of like someone was gnawing on it and I’m not sure what it is or if it’s related to the other issue at all.

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  2. I had a similar experience, but I am unsure if my cervix is torn. I am leaking a lot of mucus, which leads me to believe my cervix is damaged. My baby also had an acynclitic head, and I think I had a cervical lip also. I probably need to have my cervix checked…

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    Whit Reply:

    Though my cervix was definitely torn, I never had any excessive mucus that led me to think it had anything to do with my cervix. I have always been a heavy discharger and almost felt that I had less after my first pregnancy, though. Regardless of discharge you should get a speculum and take a little look. If you have ever felt your cervix, try it again.

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  3. I had terrible labour 12 years ago. Today my new doctor told that my cervix is like “exploded” and looks more like “star” than normal. I was little bit shocked because any other doctor haven’t even mentioned it.

    I have thought the cervix will be change after vaginal birth and I really thought it is normal that cervix is not sleek and smooth. There’s also some kind of spots, but I guess (and hope) these are not dangerous?

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  4. I am happy to announce that I am pregnant again. I will keep this site posted with pictures and the process that I undergo with this pregnancy.

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    beautifulcervix Reply:

    Congratulations! We all look forward to those photos! Good luck!

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    Amber Reply:

    Your picture of your torn cervix (and now announcing your wonderful news) has truly restored my sanity and hope!! I knew my cervix was shaped wrong since my vaginal delivery in 2/2010. I had a pap done and asked my OB about it. She said they were just nabothian cysts and the pap was normal. I could feel the little cysts and was not referring to those though. Anyhow, after countless hours searching about what could be causing these large “lumps” on my cervix. Then I found your picture! It looks exactly how mine feels (but I have one more fold in mine). I have been trying to get pregnant for a year now, and thought maybe my mishapen cervix was part of the problem, but it’s great to hear you are!! Thanks again for posting this picture!

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    priya Reply:

    Hi,just wanted to know how your second pregnancy went, i was told that i have a cervical tear after my first delivery ,now m trying for my second baby & im really worried about the tear! Could you pls tell me if everything went normal? thankyou so much

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  5. I definitely want to keep my eye on this. I think I also have a tear in my cervix and have an appointment in a few days to get it looked at. I also just found out that I am pregnant. It worries me, but it is also comforting to know I am not alone in this.

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  6. My cervix feels EXACTLY how that one looks. When I asked. my midwife about it she said nope your cervix looks just like every other woman who’s had a baby. My new gyno says my cervix “looks as if it’s seen better days”. But she also said it wasn’t uncommon considering my hard labor and large baby that was stuck. She did say the doctor in L&D that had to reach in my uterus to get my placenta out (after she pulled the cord snapping it, instead of waiting and allowing me to push it out) could have cause the change in feeling of my cervix.
    I wish I could see my cervix as I am sure it is torn slightly based on how it feels.

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  7. A little over 15 years ago, after my second son, I was told at my 6-week postpartum exam that it looked as if my son had “shredded” his way out of my cervix! I thought nothing of it until I became pregnant with my third. My new OB looked at my cervix and asked if I knew I had an incompetent cervix. Of course I didn’t. He told me I needed a cerclage, but since I already have a very irritable uterus, I declined thinking I’d rather just monitor it versus risking sending myself into way too early labor. A couple of weeks later, while having my usual constant “contractions” from my irritable uterus, I went to the ER to find out I was dilated to 2.5 cm. I stayed and had the cerclage put in. It was a horrible experience, but my baby boy went all the way to 38 weeks.

    I then became pregnant with my fourth. Instead of doing a cerclage, my OB sent me to a specialist to have it measured. The specialist there said that the bottom part of the cervix (the condition of it) was not what mattered, that it was only the top. He said he was looking for “funneling” at the top of my cervix, and that this could only be measured by transvaginal ultrasound. On the bottom of my cervix, it is torn from top on up – it’s even more mangled since my last son. I am currently 14 weeks pregnant now and a bit concerned by the recent damage. I was supposed to have my cervix checked last week, but I couldn’t make the appointment (and they only see you on Tuesdays).

    Therefore, I am confused as to why someone would tell the person above to “check her own cervix” for shortening. Am I missing something?

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    Whit Reply:

    The monitoring that I am speaking of is through basic checking of my own cervix in the shower. I am in the position that you were in the first pregnancy after your cervix was “shredded”. I don’t want any unnecessary intervention but I am aware that I need to monitor myself. I am doing so by just feeling my cervix quickly and gently a few times a month checking for changes in sensitivity, texture, and dilation. I am closely watching my discharge and making sure I feel comfortable with it and not seeing any signs of change.
    When I went to the doctor before I got pregnant she did recommend that I be regularly monitored with u/s, but that suggestion wasn’t necessarily out of previous knowledge or experience it was out of curiosity and precaution. I did not plan on an u/s at any point because we don’t want to know the sex and regardless of anything discovered about the babe it would not change the pregnancy. As time does go on, however, if there is any significant change in my cervix, discharge or contractions, I will not hesitate to get things checked out. I am 20 weeks pregnant now and happy to report that my cervix is as tight as it could be (about 1cm) and tucked back as far as it could go. I still know nothing about the extent of the damage it received during my first birth, all I have to go on is this picture.

    I wish that I could see a picture of your cervix to know exactly what it looks like. You seem to have a doctor with more experience on this matter.

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  8. I had no idea after my first child that I sustained some damage to my cervix.
    I become pregnant 3 years later, blissfully unaware that anything could go wrong, unfortunately I went in to premature labour at 23 weeks and had my little girl. She survived the birth and was fighting really hard in the neo-natel intensive care unit, but she had sustained severe damage to her brain (because it was so delicate) and we were told that it would mean she would be completely disabled/paralysed if she survived the months of intensive care. We made the decision to let her go. I wouldn’t want anyone to have to go through this so please if you think you may have a problem with your cervix, go and have it checked so that you can get the proper level of specialist care. I’m pregnant again and I’m seeing the head of obs/gyny at Wellington hospital in New Zealand….I’m on a treatment of progesterone and will have a cerclage but only if necessary. Take care.

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  9. Hiya I’m 35w pregnant with my second child and my cervix is easily as mis-shapen as the one above, if not more so, should I be worried? Our son was well over 10lbs and needed ventous to get him out, so I’m guessing it was torn and nobody ever told me. I haven’t had a pap smear or gynae visit, because I’m only just 25 (the age they start doing smears in this country) so nobody has ever commented upon it. Is it likely to cause issues if I have a vaginal birth?

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  10. I have had only one child i had to hv a c section but my cervix is torn is there a reason why it tore??? Doctors told me it was normal bt i never believed it now 7 yrs later i still cant have another baby we have tried for d past 5 yrs and nothing does that sound normal to you????

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  11. My daughter gave birth to our second grandson in July 2013 – their other son was just over 2.5 yrs. Right after the birth she was bleeding profusely to the point they ordered blood. Her doc checked things and said her cervix had split and she’d never seen anything like it. She stitched it up in the emergency situation and things settled downs. My darling girl had to have three units of blood and was wiped out for two weeks. She had surgery last week (Oct) to truly repair the cervix so she can even carry another pregnancy if they choose to. Her doctor said she definitely CAN have more babies – but all will be C-sections. This little guy was only 8 lb 4 oz – and was sunny side up. His brother was 7 lb 14 oz and he broke her cocksix (sp). She felt MUCH better after the second birth except for the fatigue until her blood count caught up to normal.

    If I had had this problem I would seek out a specialist BEFORE having another baby – it could mean not losing a child you so desire.

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  12. HELP!
    Hi I’m just abit lost and would like to discuss with people who have been through this.

    I had my lb on 26th October 2013 and suffered a 3rd degree tear and doc also gave me a episiotomy – I bled normally I think and stopped bleeding 7 weeks post partrum. To cut a long story short after bleeding after my first period continuously I visited the dr and he discovered I had a torn cervix. He has burnt it twice but it is now may and the bleeding is getting worse – I’m awaiting an appt from the hospital but feel like this is ruining my life, no one wants to help me.

    I feel like there is no end in sight – what can b done to stop this as two attempts at burning hasn’t helped. X

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  13. I am 26 ALMOST 27 yrs old and have had 3 vaginal births. My last baby was born january 17, of this yr. I havent been to the doctors, but as i was reading these comments and storys i can relate to this. I havent been to the doctors YET but i have been experiencing a lot of what Just read. I too have been experiencing tenderness in my cervix during and after sex. When i check myself i noticed my cervix felt different then what it did before i jad my last baby. I am very nervouse about going to the doctors……

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  14. I am wondering how many had natural birth after their cervix tore? Mine tore with my first, two years ago. I am now 22 weeks pregnant and doctor is suggesting a csection, though will let me try natural if I really want. Nervous about tearing again but if people have had success with a natural birth after a tear, I would love to know!

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  15. My cervix feels like the photo above. I gave birth 2 years ago and haemorrhaged 5 litres straight after my son was born. They worked on me for 2 hours in theatre to try and stop the bleeding and gave me a massive transfusion of blood and plasma. I very nearly died. I was told the bleeding was caused by a badly torn cervix. I remember feeling my cervix afterwards and finding a row of stitches in it which seemed to follow the pattern of the image above. I am now 15 weeks pregnant again but am now in a foreign country where I cannot speak the language and none of the midwives speak English. I recently felt my cervix and it feels as though it has a tear in it like the image above. I am very scared of 2 things: 1) my cervix failing to dilate during labour due to scar tissue. 2) the labour itself or an attempt to break up the scar tissue during labour causing the cervix to tear again along the previous tear site and then causing me to bleed to death. I would really appreciate any advice. How can I monitor my cervix during pregnancy? Do I need a cesarean? How and when can I attempt to break up any scar tissue myself? What should I try to communicate to the obstetrician/midwife? Any advice on any aspect would be greatly appreciated.

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  16. It has been almost four years since I had my third child he was 7lb 6 oz right after I delivered my child I was told that I had a complete pro lapse of my cervix and uterus Eddy with that my cervix was completely shredded those were the words of my obgyn and she said she had sewed my cervix back but was unsure if it would survive to everyone’s surprise it did but shortly after all that I noticed Heavey mucus and blood on occasion I went to my gyno again she said my cervix had re torn years later and that I had an infection that since it open that the. Aural bacteria in my body would keep making my cervix get infected needless to say I was prescribed a bunch of mess and she let me know that if it didn’t heal itself I would have to get ur re sown and that my next child would be difficult to have

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  17. Hi, I found out I had a weak cervix after having 1st baby at 25wks. Thanks be to God, he survived and is thriving:)since then I have had 5 cervical cerclages so our 6th little blessing arrived near Christmas.well at pp appt, dr said the tear went to vaginal wall so no room to put cerclage.does anyone know if there r ways to repair the tear so that cerclage could be placed?
    Thanks
    Cherie

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  18. I was told by my ob at my 6 week appt that my cervix looks as if I just had my baby. I tried to get him to explain to me but the more he explained the more confused I got. He said not to worry but I can’t help that I am worried… he said it looked like the cervix of a 15 year old….?? So a teenager has an opened cervix?? I don’t understand.. if I have another pregnancy does this mean I can miscarriage? Will this affect my love life? Please help

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  19. Hi, I just wanted to share my turn cervix experience. I was attempting a vaginal birth after a previous cs and the initial stages of labour were unproblematic. I took an the epidural when in transition and when I reached 10cm i began to push despite not feeling the urge. The epidural was turned off, and I pushed for approximately 3 hours, the head was well and truly stuck, so a ventouse was attempted. It failed, so I had an emergency c-section since my daughter was in distress. The section was complicated and the surgeons remained stitching me up for over 2 hours after delivering my daughter. Nothing was mentioned after delivery, but in my 6 week visit the consultant (did not perform the cs) discovered I has a very torn cervix. 15 months later he says it’s healed well, but has warned me that another pregnancy may result in a miscarriage in the second trimester, or a premature labour which could result in having a child with cerebral palsy. Though I would have loved a 3rd child, I have decided it’s not worth the risk. Is this being overly cautious? Can a cervical stitch help?

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  20. I really find it hard to comprehend why doctors have allowed the women mentioned above to have vaginal deliveries to babies exceeding 8 and a 1/2 pounds. Also, doctors simply do not conduct tests where I am from. My baby was only five pounds at 35 weeks and that tore way down through the muscle.
    A year later, a nurse’s aid complained that the cervix can only be torn when the mother pushes before she is ready. Research says otherwise, like abnormal cervix. She is such a bum. I heard an explosion sounding like a tire popped two hours before I was told to push.
    Anyway, the registered nurse at my health center where I joined the family planning program assured me that I will not become pregnant once I breast fed. She was another bum. I had my second son a year later.
    I went on various contraceptive drugs that were available since what they could offer was sometimes a new drug. Nine years after my cervix was torn, (the second delivery was not much easier) I decided to have my tubes tied. It was very painful again. The nurses refused to give pain killers and acted like real bums.
    One injected me on the leg hours later and that barely did anything to comfort me. That was two weeks ago. On top of all that, I was told my period days are over by the family planning nurse, only to discover online that she is another bum and that I should probably expect heavier periods.
    Anybody wonders where I am from? Trinidad and Tobago. Yes, a little but extremely wealthy neighbor of the USA. We boast of superior technology and infrastructure on a paradise but we cringe when we have to face our health care system.

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  21. The OB(Intern)cut my cervix when I had my oldest child, as the cord was wrapped around his neck and he could not come out. I had scarring and the next OB/GYN I went to, froze off part of the scar tissue and I was eventually able to get pregnant and carry more children to term.

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  22. hi ladies,I lost my baby at 24 weeks he weighed 600g I’m in south Africa. I gave birth through a McDonald’s stitch (cerclage) that was put at 23weeks.Had contractions for 7 days whilst admitted at the hospital.Gave birth on my own the doctor said he was busy in the consultation room. Four months later which is 2 weeks ago my be doctor said my cervix is torn. We r trying to conceive and he said it’s possible but will be complicated. May the good Lord help us. I’m 28.

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  23. This looks EXACTLY like my cervix!
    Im 10 weeks postpartum. I recently took a peek at my cervix because when I felt it, it felt just like this poster describes- deeply ridged and almost gaping, and very tender both during and after sex.
    I had a cervical lip during birth, as well as a posterior position baby and a very long crowning while waiting for the doctor to finally arrive and being told to stop pushing til he got there.
    Ugh…
    No big surprise that my cervix was torn.

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