Childbirth/Cervix Changes

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Expert: - 4/25/2008


Question
My question is can the cervix change from a nullipara to a multipara even with a c-section?

Answer
Deborah,

Yes, it is possible for cervical changes from a nullipara (first-time mother) to a multipara, even when the first child was delivered via c-section.


This is due to combination of factors including the hormones of pregnancy.  It it also due to the fact that in all but the rarest of circumstances, some cervical change [i.e. dilation and/or effacement] has taken place before the cesarean section is performed.


Few c-sections would occur in the absence of such cases.  This may happen in the case of a very preterm birth and/or with multiples.


With those exceptions, most c-sections take place near term, at which time some cervical changes are almost always present.


Best,
Catherine

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Catherine Beier MS CBE

Expertise

I can provide evidence-based information and current research findings concerning childbirth and pregnancy. My specializations include natural childbirth, pregnancy and birth interventions, fetal positioning, labor induction, choosing a care provider, midwives, homebirth, unassisted birth, natural pain relief, medications in pregnancy and birth, informed consent, understanding the risks and benefits of childbirth choices, doulas, waterbirth, childbirth methods, childbirth education classes, cesarean section, and VBAC.

Experience

I have been a childbirth educator, mother, author, public speaker, researcher, and birth advocate for the past 9 years. I am also the author of Giving Birth Naturally, a site dedicated to natural childbirth and pregnancy information. I publish evidence-based articles on pregnancy, childbirth, newborn care, and post-partum care. I'm also a mother of three children, two daughters and one son all born naturally. To learn more about what normal birth looks like, view the natural childbirth video of my son being born at home unassisted.

Publications
My book, Birth Outside the Box, was published in 2007.

Education/Credentials
I hold a Master's degree in communication disorders with an emphasis in child development. I am also an independent childbirth educator.

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