Cervical Scar Tissue

This topic is incredibly close to my heart. As a doula, I’ve seen many labors stall due to cervical scar tissue.

If you’ve had me as your doula, I’ve probably asked about your GYN history. Specifically, I often ask if you’ve had procedures done on your cervix. This is how I screen for cervical scar tissue.

Here’s why this matters so much.

One of the first births I attended involved cervical scarring. The client had a history of abnormal pap smears and cervical procedures. Those procedures caused scar tissue on their cervix. At the time, I was a student shadowing an experienced doula. By then, the client had been laboring for over 24 hours. Their dilation had stalled at 4 centimeters for many hours.

Eventually, the midwife performed a cervical exam and discovered scar tissue. Gently, she asked the client for permission to release it. After the client agreed, the midwife carefully released the tissue. Soon after, within just a few hours, the client was fully dilated and ready to push.

That birth stayed with me and shaped how I approach supporting laboring clients.

Over the years, I’ve worked with providers who approach scarring very differently. For instance, some don’t see cervical scar tissue as a big deal. Others, however, take a much more proactive approach when it’s present. In some cases, a compassionate nurse can manipulate the tissue to release it. Other times, I’ll suggest the provider apply gentle pressure during a contraction. Of course, I always make sure the client consents to any approach.

Almost every time, this method works. Labor often progresses quickly after the scar tissue releases. It’s truly incredible to watch the change.

I’ve also experienced cervical scarring myself. During my last pregnancy, I already knew I had two areas of scar tissue. Both resulted from previous cervical procedures.

On the day I went into labor, my OB performed an exam. She felt the scar tissue and offered to release it. Since I was headed for an induction soon after, I agreed. At first, I felt nervous because my midwife had checked me earlier that day. I was only 1 centimeter dilated, which worried me.

Thankfully, the OB gently released the tissue in the office. It was quick, painless, and effortless. Almost immediately, my cervix opened to 3 centimeters! I felt so much better starting my induction at 3 centimeters instead of 1.

For some, releasing scar tissue can feel painful. On the other hand, for others like me, it’s completely painless. During labor, consistent pressure on the scar tissue during contractions may help. In many cases, this gentle approach encourages the body to release it naturally. Discomfort will vary from person to person, but the results can be labor-changing.

If you’ve had cervical procedures, I encourage you to bring it up prenatally with your provider or doula.

Procedures like a LEEP, cone biopsy, or cryosurgery can cause scarring. Later on, if labor stalls, scar tissue could be a contributing factor.

Ultimately, cervical scarring may be overlooked as a possibility. However, identifying and addressing it can make a huge difference. Fortunately, it’s usually quick and easy to resolve. By discussing it ahead of time, you may help your labor progress more smoothly.