We have a few docs' that will stretch an 8-centimeter cervix to complete. Besides the obvious risks of tearing or swelling a cervix I wonder if this can cause problems with incompetent cervix during the next pregnancy. It certainly looks barbaric and I hate it.
Also some nurses where I work will stretch a cervix on an induction to get things moving. I personally will only gently open my fingers and see if the cervix stretches easily but some nurses get fairly aggressive.
Does anyone have a study or some information on this? Does this cause damage?
I also wonder about people who have had LEEP or cryo. I have had patents come in with FT/100/+1 in hard labor. After getting them an epidural if I put my finger threw and break the scar tissue they go to 5 or sometimes complete. Is there a contraindication to this?
Any information would be great
May 30, '05
By stretching you mean, to push it beyond it's borders to open it further? Why?
Our doctors don't do this and neither do we, for the reasons you state, not to mention IT HURTS!!!!! Why mess around with Mother Nature in such a potentially dangerous and painful way?! And yes, I did see a reallllly bad cervical lac once (had to go to OR for emergency repair) on a patient of a dr who did this as a matter of routine about 7 years ago. It was horrendous. I am glad he is no longer delivering babies. The girl almost bled to death.
The only time we see our dr's "stretch" a cervix is to reduce a very friable anterior lip when a woman pushes. If it does not reduce easily, they stop right there and leave it alone.
You are right Dayray, to be concerned. As far as scarred cervices, I would leave that up to the doctor or midwife to deal with it. I personally would not stretch a cervix beyond it's borders to "force" or "help" anything along. I am very, very anally cautious, I know.
Last edit by SmilingBluEyes on May 30, '05
Last edit by Dayray on May 31, '05