Age 25 – Pregnant & Ectropian

This is the cervix of a 25 year old pregnant woman.  She has had two vaginal homebirths before this pregnancy, the last almost two years ago.  You can see that she has an ectropian cervix.  The red area you’ll see around the os is shallow, vascular, mucous-producing endocervical epithelium (what is usually on the inside of the os) which has grown out onto the face (exterior portion) of the cervix.  This is a variation of normal and often expands during pregnancy as the cervix tends to evert.

You will notice that she is a few centimeters dilated throughout her pregnancy, which can be normal for a multiparous woman.  No cerclage was needed.  Also, during her previous pregnancy, her dilation seemed to vary; at 37 weeks, she  was 3 cm dilated and a few days later she was 1 cm.

The photos are above the week number and descriptions.

mrsroberston-preggo-blood-15wk- resized

15 weeks

The midwife notes that this woman’s cervix is “Posterior and to client’s left. Appeared slightly friable and is ectropian.  There was about 1.5 Tbs bright red bleeding from cervix*. It stopped quickly and blood that pooled in vagina clotted well.”

(*Bright red bleeding from the cervix during pregnancy is not usually normal.  This woman is taking Lovenox (blood thinner) for pulmonary emobli that was diagnosed 3 weeks ago, which may have lead to this bleeding since she had recently had intercourse.  Post-coital bleeding with an ectropian cervix is common.)

mrsroberston-preg-1cmdil-resized24 weeks

The midwife says this woman is now about 1 cm dilated (meaning she can fit one finger into the os) and ectropian, as mentioned above.

27 weeks + 4 days

At 27 weeks, 2 days, this woman began having contractions between 2-4 minutes apart, lasting all night with severe, but consitent crampy feelings.  The lower portion of her uterus (near the pubic bone) would get tight like a basketball while she laid down.  When she stood up, her entire uterus would get tight, with the crampy feeling more toward the cervix.  So, she remained lying down and the crampy feeling lasted about 24 hours.

When she checked her own cervix, she noticed her cervix felt shortened as compared to a few days before.  The midwife confirmed that she is about 70% effaced and still 1 cm dilated.  The midwife did not want to insert her finger into the os to check the dilation so as to not stimulate more contractions.  This woman feels that if she may be closer to 2 cm dilated because the “smile” of the os feels wide.  The cervix remains posterior.

Welcome, Sweet Baby!

After turning her footling breech at 35+6 weeks by using techniques on, this woman was induced with pitocin due to low amniotic fluid levels.  She used “Hypnobabies” hypnosis techniques, hydrotherapy, sounding, massage, and movement to deal with the contractions for the first 30 hours.  She then received a low-dose epidural when she was at 5 cm and, after breaking her water, dilated fairly quickly.  The mother was able to breathe slowly as her baby crowned so her perineum skin would stretch easily.  She caught her own baby (with an absentee doctor) in the hospital!  Both the baby and the mother are healthy.

11 thoughts on “Age 25 – Pregnant & Ectropian

  1. hi was just looking at the pics of the cervix was wondering if u could post any with a cerclage and preganet i had one when i was 16 weeks preanget with my soni almost lost him so they had to do emer sugery to save him and i. so they put a cerclage in to save him thanks and blessing to all ! website was very helful also can u post a pic of a cevix with mild cerviful cancer thanks!again!


  2. I was wondering if yall could give me some comments…I believed I ovulated yesterday since I had twinges on the left side by my hip. And 3 days prior I baby danced and I just checked my cervical position its the highest this month. I thought after ovulation its suppose to go down.


  3. Oh my gosh! This is what my cervix is like – what the bumps on it are. I know without having to even look at it. Thanks SO much. Mine feels like this one looks and I’ve always wondered why it’s not like the pictures. I had post-coital bright red bleeding at 35 weeks pregnant and spotting early in pregnancy (not implantation bleeding). My cervix works perfectly and I deliver my babies in around 3 hours but I’ve always wondered why it felt ‘weird’.


  4. This is such great information! I’m 22 and want to have a natural birth one day but it seems so painful and scary… reading this was great. The websites she used are nice as well! Thank you so much!


  5. I felt guilty when I experienced a miscarriage as I felt that I could have done something to prevent losing my baby. However, I later managed to move on as I discovered that mostly miscarriages happen due to fetal abnormalities or else internal problems which can not be prevented. I also found out that miscarriages are normal occurrences in women only that most of them experience them even before knowing they were pregnant. The implantation process is not always perfect and at times it takes the woman body a number of tries to get it accurate.


  6. Hi im ttc I have pcos so I dnt no wen I ovulate neva have regular periods my question is I think I ovulated recently bt now my cervix is high and feels very open like 1cm n it nt always like ths I had spotting after sex bt no period and 3 days later its still feels open any iseas thnx


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