Cervical Changes After Childbirth: Nulliparity to Multiparity

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